Derek Guy Zickgraf, DO - Medicare Family Medicine in Baker City, OR

Derek Guy Zickgraf, DO is a medicare enrolled "Family Medicine" physician in Baker City, Oregon. His current practice location is 3175 Pocahontas Rd, Baker City, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 523-4415.

Derek Guy Zickgraf is licensed to practice in Oregon (license number DO181773) 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 1568774362.

Contact Information

Derek Guy Zickgraf, DO
3175 Pocahontas Rd,
Baker City, OR 97814
(541) 523-4415
(541) 523-2399



Physician's Profile

Full NameDerek Guy Zickgraf
GenderMale
SpecialityFamily Medicine
Location3175 Pocahontas Rd, Baker City, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568774362
  • Provider Enumeration Date: 07/08/2010
  • Last Update Date: 03/29/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9436435583
  • Enrollment ID: I20170404002184

Medical Identifiers

Medical identifiers for Derek Guy Zickgraf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568774362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO181773 (Oregon)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. Derek Guy Zickgraf allows following entities to bill medicare on his behalf.
Entity NameGrande Ronde Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467446195
PECOS PAC ID: 0547170789
Enrollment ID: O20031124000758

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Entity NameSaint Alphonsus Medical Center Baker City, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881726206
PECOS PAC ID: 4981732518
Enrollment ID: O20100618000209

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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 Guy Zickgraf 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
Derek Guy Zickgraf, DO
3340 E Goldstone Way,
Meridian, ID 83642-1026

Ph: (541) 523-4415
Derek Guy Zickgraf, DO
3175 Pocahontas Rd,
Baker City, OR 97814

Ph: (541) 523-4415

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Family Medicine Doctors in Baker City, OR

Dr. Lisa Christina Lanning, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814
Phone: 541-524-8000    Fax: 541-524-7955
Dean Nathanial Defrees, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3950 17th St Ste A, Baker City, OR 97814
Phone: 541-523-1001    Fax: 541-523-1152
Kaare E Tingelstad, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3325 Pocahontas, Baker City, OR 97814
Phone: 541-523-8111    Fax: 541-523-1738
Dr. Robert Menzie Mckim, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3175 Pocahontas Rd, Baker City, OR 97814
Phone: 541-523-4415    Fax: 541-523-2399
Mr. J Daniel Smithson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3950 17th St, Suite A, Baker City, OR 97814
Phone: 541-523-1001    Fax: 541-523-1152
Neil J Carroll, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3950 17th St, Baker City, OR 97814
Phone: 541-523-1001    Fax: 541-523-1152
Josh Sirucek, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814
Phone: 514-523-1797    Fax: 514-523-1799

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