Derrick Xabien Milton, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Woodland, California. His current practice location is
414 4th St Ste D, Woodland, California. You can reach out to his office (for appointments etc.) via phone at
(530) 406-7993.
Derrick Xabien Milton is licensed to practice in California (license number 63188) 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 1215631742.
Provider's Profile
| Full Name | Derrick Xabien Milton |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 414 4th St Ste D, Woodland, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215631742
- Provider Enumeration Date: 03/28/2023
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688024862
- Enrollment ID: I20231229002505
Medical Identifiers
Medical identifiers for Derrick Xabien Milton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215631742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 63188 (California) | Primary |
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. Derrick Xabien Milton 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 |
|---|
Derrick Xabien Milton,
2165 Larkspur Ln,
Redding, CA 96002-0600
Ph: (530) 226-7419 | Derrick Xabien Milton,
414 4th St Ste D,
Woodland, CA 95695-4000
Ph: (530) 406-7993 |
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