Derek Paul Mora, MD - Medicare Pediatrics in Carson City, NV

Derek Paul Mora, MD is a medicare enrolled "Pediatrics" physician in Carson City, Nevada. His current practice location is 1475 Medical Pkwy, Carson City, Nevada. You can reach out to his office (for appointments etc.) via phone at (775) 885-2229.

Derek Paul Mora is licensed to practice in Texas (license number BP10066858) 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 1649833609.

Contact Information

Derek Paul Mora, MD
1475 Medical Pkwy,
Carson City, NV 89703-4635
(775) 885-2229
(775) 882-5045



Physician's Profile

Full NameDerek Paul Mora
GenderMale
SpecialityPediatrics
Location1475 Medical Pkwy, Carson City, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649833609
  • Provider Enumeration Date: 04/16/2019
  • Last Update Date: 07/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5294116224
  • Enrollment ID: I20220721001830

Medical Identifiers

Medical identifiers for Derek Paul Mora such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649833609NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics BP10066858 (Texas)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 Paul Mora allows following entities to bill medicare on his behalf.
Entity NameCarson Medical Group Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780694620
PECOS PAC ID: 4183520778
Enrollment ID: O20031212000509

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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 Paul Mora 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 Paul Mora, MD
1475 Medical Pkwy,
Carson City, NV 89703-4635

Ph: (775) 885-2229
Derek Paul Mora, MD
1475 Medical Pkwy,
Carson City, NV 89703-4635

Ph: (775) 885-2229

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Pediatrics Doctors in Carson City, NV

Brittany Nicole Downing, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1475 Medical Pkwy, Carson City, NV 89703
Phone: 775-885-2249    Fax: 775-882-5045
Dr. Susan R Pintar, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2874 N Carson St, Suite 200, Carson City, NV 89706
Phone: 775-883-9003    Fax: 775-883-0959
Thomas F Harlow, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 212 W Ann St, Carson City, NV 89703
Phone: 775-885-2211    Fax: 775-885-0773
Michael Dickson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1475 Medical Pkwy, Carson City, NV 89703
Phone: 775-885-2229    
Patrick W. Gunn, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 Mountain Street, Carson City, NV 89703
Phone: 775-885-2229    Fax: 775-882-5045
Dr. Aida Jennifer Rutledge, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1475 Medical Pkwy, Carson City, NV 89703
Phone: 775-885-2229    
Dr. Rebecca Theresa Papez, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 Mountain St, Carson City, NV 89703
Phone: 775-885-2229    

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