Derrick S Tooth, MD - Medicare Urology in Manchester, ME

Derrick S Tooth, MD is a medicare enrolled "Urology" physician in Manchester, Maine. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mainegeneral Medical Center and his current practice location is 1053 Western Ave, Manchester, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 622-6319.

Derrick S Tooth is licensed to practice in Maine (license number 014663) 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 1639260847.

Contact Information

Derrick S Tooth, MD
1053 Western Ave,
Manchester, ME 04351-3403
(207) 622-6319
(207) 622-6654



Physician's Profile

Full NameDerrick S Tooth
GenderMale
SpecialityUrology
Experience33 Years
Location1053 Western Ave, Manchester, Maine
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:
  • Derrick S Tooth graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1639260847
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 12/05/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1153368253
  • Enrollment ID: I20050411000699

Medical Identifiers

Medical identifiers for Derrick S Tooth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639260847NPI-NPPES
255890099MedicaidME
030440OtherMEANTHEM
1041053OtherAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 014663 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maine General Medical CenterAugusta, MEHospital
Penobscot Bay Medical CenterRockport, MEHospital
Redington Fairview General HospitalSkowhegan, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mainegeneral Medical Center1254245715487

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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. Derrick S Tooth allows following entities to bill medicare on his behalf.
Entity NameMainegeneral Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669423380
PECOS PAC ID: 1254245715
Enrollment ID: O20031118000718

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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. Derrick S Tooth 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
Derrick S Tooth, MD
9 Pleasant Street, Suite 2,
Oakland, ME 04963

Ph: (207) 465-2700
Derrick S Tooth, MD
1053 Western Ave,
Manchester, ME 04351-3403

Ph: (207) 622-6319

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Urology Doctors in Manchester, ME


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