Jason David Derbort, MD is a medicare enrolled "Emergency Medicine" physician in Harvest, Alabama. His current practice location is
14634 Doe Run, Harvest, Alabama. You can reach out to his office (for appointments etc.) via phone at
(662) 242-7812.
Jason David Derbort is licensed to practice in Alabama (license number MD.31694) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578706263.
Physician's Profile
Full Name | Jason David Derbort |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 14634 Doe Run, Harvest, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578706263
- Provider Enumeration Date: 04/12/2009
- Last Update Date: 07/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 9032381397
- Enrollment ID: I20120817000206
Medical Identifiers
Medical identifiers for Jason David Derbort such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578706263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD.31694 (Alabama) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jason David Derbort allows following entities to bill medicare on his behalf.
Entity Name | Emergency Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason David Derbort is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jason David Derbort, MD 14634 Doe Run, Harvest, AL 35749-7577 Ph: (662) 242-7812 | Jason David Derbort, MD 14634 Doe Run, Harvest, AL 35749-7577 Ph: (662) 242-7812 |
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