Derek R Flake, PT in Lakeside, AZ - Medicare Physical Therapy Provider

Derek R Flake, PT is a medicare enrolled "Physical Therapist" provider in Lakeside, Arizona. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice White Mountain Physical Therapy Ltd and his current practice location is 4830 Highway 260 Ste 105, Lakeside, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 532-1221.

Derek R Flake is licensed to practice in Arizona (license number 8520PT) 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 1104154269.

Contact Information

	Derek R Flake, PT
	4830 Highway 260 Ste 105, Lakeside, AZ 85929-5851
	(928) 532-1221
	(928) 532-1227

Map and Direction

Healthcare Provider's Profile

Full Name	Derek R Flake
Gender	Male
Speciality	Physical Therapy
Experience	15 Years
Location	4830 Highway 260 Ste 105, Lakeside, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek R Flake graduated from medical school in 2009

NPI Data:

NPI Number: 1104154269
Provider Enumeration Date: 12/01/2009
Last Update Date: 03/16/2020

Medicare PECOS Information:

PECOS PAC ID: 7911191481
Enrollment ID: I20101028000656

Medical Identifiers

Medical identifiers for Derek R Flake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104154269	NPI	-	NPPES
8520PT	Other	AZ	ARIZONA PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8520PT (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
White Mountain Physical Therapy Ltd	0446142111	14

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. Derek R Flake allows following entities to bill medicare on his behalf.

Provider Name	White Mountain Physical Therapy Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750385654 PECOS PAC ID: 0446142111 Enrollment ID: O20040326001159

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. Derek R Flake 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
Derek R Flake, PT Po Box 1420, Show Low, AZ 85902-1420 Ph: (928) 532-1221	Derek R Flake, PT 4830 Highway 260 Ste 105, Lakeside, AZ 85929-5851 Ph: (928) 532-1221

Reviews and Comments

Physical Therapist in Lakeside, AZ

Dr. Angela R Valentine, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1355 W White Mountain Blvd Ste B, Lakeside, AZ 85929 Phone: 928-367-7325
Mary Katherine Hegarty, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4830 Highway 260 Ste 105, Lakeside, AZ 85929 Phone: 928-532-1221
Eric Cox, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 W White Mountain Blvd Ste D, Lakeside, AZ 85929 Phone: 928-367-3913
Rachel K Ellsworth, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4830 Highway 260, Ste 105, Lakeside, AZ 85929 Phone: 928-532-1221 Fax: 928-532-1227
Peak Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1355 W White Mountain Blvd, Suite B, Lakeside, AZ 85929 Phone: 928-367-7325
Kyle Douglas Howell, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 4830 Highway 260 Ste 105, Lakeside, AZ 85929 Phone: 928-532-1221

Derek R Flake, PT - Medicare Physical Therapist in Lakeside, AZ