Dr Derek Mikael Sorensen, MD - Medicare Critical Care (intensivists) in Wright Patterson Afb, OH

Dr Derek Mikael Sorensen, MD is a medicare enrolled "Emergency Medicine" physician in Wright Patterson Afb, Ohio. He went to Loma Linda University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 257-0770.

Dr Derek Mikael Sorensen is licensed to practice in Ohio (license number 35.127329) 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 1447416896.

Contact Information

Dr Derek Mikael Sorensen, MD
4881 Sugar Maple Dr,
Wright Patterson Afb, OH 45433-5529
(937) 257-0770
Not Available



Physician's Profile

Full NameDr Derek Mikael Sorensen
GenderMale
SpecialityCritical Care (intensivists)
Experience18 Years
Location4881 Sugar Maple Dr, Wright Patterson Afb, Ohio
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 Derek Mikael Sorensen attended and graduated from Loma Linda University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1447416896
  • Provider Enumeration Date: 08/05/2008
  • Last Update Date: 12/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4981742392
  • Enrollment ID: I20151223000763

Medical Identifiers

Medical identifiers for Dr Derek Mikael Sorensen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447416896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4301093367 (Michigan)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 35127329 (Ohio)Secondary
207P00000XEmergency Medicine 35.127329 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Soin Medical CenterBeaver creek, OHHospital
Miami Valley HospitalDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936586

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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 Derek Mikael Sorensen allows following entities to bill medicare on his behalf.
Entity NameWright State Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114920329
PECOS PAC ID: 7618889320
Enrollment ID: O20031103000097

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Entity NameEmergency Medicine Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588640791
PECOS PAC ID: 7315851359
Enrollment ID: O20031114000252

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Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529

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Entity NameMiami Valley Emergency Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821189085
PECOS PAC ID: 9537064183
Enrollment ID: O20031205000322

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Entity NameSouth Dayton Acute Care Consultants, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669442950
PECOS PAC ID: 3577452465
Enrollment ID: O20040310001218

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Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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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 Derek Mikael Sorensen 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 Derek Mikael Sorensen, MD
88 Mdg, 4881 Sugar Maple Dr,
Wright-patterson Afb, OH 45433-5529

Ph: (937) 257-0770
Dr Derek Mikael Sorensen, MD
4881 Sugar Maple Dr,
Wright Patterson Afb, OH 45433-5529

Ph: (937) 257-0770

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Emergency Medicine Doctors in Wright Patterson Afb, OH

Dr. Eric Michael Mozeleski, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-0770    
Nora Gerson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-3203    
Jared C Vaughan,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-0837    
James Michael Manley, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, 88 Mdg/sgoe, Wright Patterson Afb, OH 45433
Phone: 720-323-5725    
Jeffrey Nathan Harris, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-9612    
Joseph Inhofer, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-0770    
Dr. Roy Lee Johnson Iii, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-0770    

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