Mr Derek John Tatum, - Medicare Physician Assistant in Midlothian, VA

Mr Derek John Tatum, is a medicare enrolled "Physician Assistant" in Midlothian, Virginia. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Orthovirginia Inc, Ivyrehab Sept, Llc and his current practice location is 11020 Hull Street Rd, Midlothian, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 744-6310.

Mr Derek John Tatum is licensed to practice in Virginia (license number 0110006682) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013488246.

Contact Information

Mr Derek John Tatum,
11020 Hull Street Rd,
Midlothian, VA 23112-3200
(804) 744-6310
Not Available

Map and Direction




Provider's Profile

Full NameMr Derek John Tatum
GenderMale
SpecialityPhysician Assistant
Experience5 Years
Location11020 Hull Street Rd, Midlothian, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Derek John Tatum graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1013488246
  • Provider Enumeration Date: 12/16/2018
  • Last Update Date: 03/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062740376
  • Enrollment ID: I20190826000063

Medical Identifiers

Medical identifiers for Mr Derek John Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013488246NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110006682 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bon Secours St Marys HospitalRichmond, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthovirginia Inc0547157224491
Ivyrehab Sept, Llc79119909081173

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. Mr Derek John Tatum 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 AddressPractice Location Address
Mr Derek John Tatum,
5000 Cox Rd,
Glen Allen, VA 23060-9263

Ph: (804) 968-5700
Mr Derek John Tatum,
11020 Hull Street Rd,
Midlothian, VA 23112-3200

Ph: (804) 744-6310

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.