Dr Dereck Davis, - Medicare Pediatric Medicine in Jackson, MS

Dr Dereck Davis, is a medicare enrolled "Pediatrics" physician in Jackson, Mississippi. He went to University Of South Alabama College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 2600 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-5220.

Dr Dereck Davis is licensed to practice in Mississippi (license number 18418) 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 1174567580.

Contact Information

Dr Dereck Davis,
2600 N State St,
Jackson, MS 39216-4301
(601) 984-5220
(601) 984-5279



Physician's Profile

Full NameDr Dereck Davis
GenderMale
SpecialityPediatric Medicine
Experience23 Years
Location2600 N State St, Jackson, Mississippi
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:
  • Dr Dereck Davis attended and graduated from University Of South Alabama College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1174567580
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 08/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7810965167
  • Enrollment ID: I20040923000734

Medical Identifiers

Medical identifiers for Dr Dereck Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174567580NPI-NPPES
02170804MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2007-00180 (North Carolina)Secondary
208000000XPediatrics 18418 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804

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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. Dr Dereck Davis allows following entities to bill medicare on his behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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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. Dr Dereck Davis 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
Dr Dereck Davis,
2600 N State St,
Jackson, MS 39216-4301

Ph: (601) 984-5220
Dr Dereck Davis,
2600 N State St,
Jackson, MS 39216-4301

Ph: (601) 984-5220

News Archive

CBO: Obama's budget would reduce Medicare spending by $364B

The Congressional Budget Office estimated Friday that President Obama's budget would reduce Medicare spending by $364 billion over the next decade and would reduce future budget deficits. The White House and Congress will likely soon need to work on a long-term budget solution as the nation again approaches its debt limit.

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Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5260    Fax: 601-984-2652
Kavipriya Komeswaran,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-2005    Fax: 601-815-0434
Emily S Weber, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-4520    Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216
Phone: 601-984-1000    
Dr. Eva Mae Henderson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213
Phone: 601-709-5150    Fax: 601-709-5151
Sitesh Ranen Roy, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5249    
Dr. Kathryn R Farrell, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5 River Bend Pl, Suite C, Jackson, MS 39232
Phone: 601-957-7345    Fax: 769-251-5429

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