Justin Michael Dersch, MD in Columbia, MO

Justin Michael Dersch, MD is a medicare enrolled "Surgery" physician in Columbia, Missouri. His current practice location is 1000 W Nifong Blvd, Bldg 2, Ste 220, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 882-5673.

Justin Michael Dersch is licensed to practice in Missouri (license number 2022026550) 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 1780038083.

Contact Information

	Justin Michael Dersch, MD
	1000 W Nifong Blvd, Bldg 2, Ste 220, Columbia, MO 65203-5615
	(573) 882-5673
	(573) 884-4625

Map and Direction

Physician's Profile

Full Name	Justin Michael Dersch
Gender	Male
Speciality	Surgery
Location	1000 W Nifong Blvd, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780038083
Provider Enumeration Date: 04/22/2016
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9133415433
Enrollment ID: I20220926001160

Medical Identifiers

Medical identifiers for Justin Michael Dersch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780038083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	2022026550 (Missouri)	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. Justin Michael Dersch allows following entities to bill medicare on his behalf.

Entity Name	Ozarks Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035

Entity Name	Vohra Wound Physicians Of Fl Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407146707 PECOS PAC ID: 6406039882 Enrollment ID: O20140529000664

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. Justin Michael Dersch 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
Justin Michael Dersch, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300	Justin Michael Dersch, MD 1000 W Nifong Blvd, Bldg 2, Ste 220, Columbia, MO 65203-5615 Ph: (573) 882-5673

Reviews and Comments

Surgery Doctors in Columbia, MO

Olivia Louise Bolles, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4141
Alice Lee, Surgery Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-5609 Fax: 573-884-6054
Ioan-andrei Scumpu, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Mchaney Hall 404, Dco75.00, Columbia, MO 65212 Phone: 573-884-2000
Marc L Miller, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 115 Business Loop 70 W, Columbia, MO 65203 Phone: 573-882-8454 Fax: 573-884-6054
Dr. Mary Carr, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000
Brent W Miedema, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr # 617, Columbia, MO 65201 Phone: 573-814-6346
Dr. Kelley Marie Ray, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-2000

Justin Michael Dersch, MD - Medicare Surgery in Columbia, MO