Dr Kevin Matthew Derickson, DPM in Denver, CO - Medicare Podiatrist Provider

Dr Kevin Matthew Derickson, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Denver, Colorado. His current practice location is 2121 S Oneida St Ste 270, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 355-1695.

Dr Kevin Matthew Derickson is licensed to practice in Colorado (license number POD.0000548) 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 1396748497.

Contact Information

	Dr Kevin Matthew Derickson, DPM
	2121 S Oneida St Ste 270, Denver, CO 80224-2551
	(303) 355-1695
	(303) 355-1834

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kevin Matthew Derickson
Gender	Male
Speciality	Podiatrist - Primary Podiatric Medicine
Location	2121 S Oneida St Ste 270, Denver, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396748497
Provider Enumeration Date: 05/23/2005
Last Update Date: 11/04/2022

Medicare PECOS Information:

PECOS PAC ID: 0840361879
Enrollment ID: I20221117003160

Medical Identifiers

Medical identifiers for Dr Kevin Matthew Derickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396748497	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213EP1101X	Podiatrist - Primary Podiatric Medicine	PO2824 (Florida)	Secondary
213EP1101X	Podiatrist - Primary Podiatric Medicine	POD.0000548 (Colorado)	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. Dr Kevin Matthew Derickson allows following entities to bill medicare on his behalf.

Provider Name	Cc Foot Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538338884 PECOS PAC ID: 3678708567 Enrollment ID: O20131031000151

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. Dr Kevin Matthew Derickson 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
Dr Kevin Matthew Derickson, DPM Po Box 21150, Boulder, CO 80308-4150 Ph: (033) 551-6953	Dr Kevin Matthew Derickson, DPM 2121 S Oneida St Ste 270, Denver, CO 80224-2551 Ph: (303) 355-1695

Reviews and Comments

Podiatrist in Denver, CO

Jensen L Jensen, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4600 Hale Pkwy, Suite 440, Denver, CO 80220 Phone: 303-321-4477 Fax: 303-321-5323
Podiatry Associates, Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 2727 Bryant St Ste 400, Denver, CO 80211 Phone: 720-855-9214 Fax: 720-855-9291
Foot Specialist Associates P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 950 E Harvard Ave, 300, Denver, CO 80210 Phone: 303-722-6864
Dr. Eric Hillmann, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1055 Clermont St, Denver, CO 80220 Phone: 303-399-8020
Chrystal Summer Rose Berg, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Mc 0188, Denver, CO 80204 Phone: 303-436-6131 Fax: 303-436-6572
Jordyn Taylor Dubois, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4821 W 30th Ave, Denver, CO 80212 Phone: 440-666-3099
Mr. Richard Charles, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 201 University Blvd, Suite 204, Denver, CO 80206 Phone: 303-355-1695 Fax: 303-355-1834

Dr Kevin Matthew Derickson, DPM - Medicare Podiatrist in Denver, CO