S Lawson Derby, MD - Medicare Internal Medicine in Beverly, MA

S Lawson Derby, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Beverly, Massachusetts. His current practice location is 77 Herrick St, Ste 101 Medical Group Inc, Beverly, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 927-4110.

S Lawson Derby is licensed to practice in Massachusetts (license number 216949) 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 1841215522.

Contact Information

S Lawson Derby, MD
77 Herrick St, Ste 101 Medical Group Inc,
Beverly, MA 01915-3012
(978) 927-4110
(978) 232-7057



Physician's Profile

Full NameS Lawson Derby
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location77 Herrick St, Beverly, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841215522
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 09/24/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7012808025
  • Enrollment ID: I20040421000210

Medical Identifiers

Medical identifiers for S Lawson Derby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841215522NPI-NPPES
2031400MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 216949 (Massachusetts)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. S Lawson Derby allows following entities to bill medicare on his behalf.
Entity NameNortheast Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316917941
PECOS PAC ID: 1153213202
Enrollment ID: O20040721000148

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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. S Lawson Derby 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
S Lawson Derby, MD
77 Herrick St, Suite 101,
Beverly, MA 01915-3012

Ph: (978) 927-4110
S Lawson Derby, MD
77 Herrick St, Ste 101 Medical Group Inc,
Beverly, MA 01915-3012

Ph: (978) 927-4110

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Internal Medicine Doctors in Beverly, MA

Ronald Newman, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 85 Herrick St, Lahey At Beverly Hospital, Beverly, MA 01915
Phone: 978-922-3000    
Joel W Shelkrot, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: Beverly Hospital, Herrick Street, Beverly, MA 01915
Phone: 978-922-3000    
Dr. Ariadne Stephanie Scott Iriarte, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 85 Herrick St, Beverly, MA 01915
Phone: 978-922-3000    
Pierre Abou-ezzi, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 100 Cummings Center, Suite 126q, Beverly, MA 01915
Phone: 978-524-8181    Fax: 978-524-9868
Thuy Le, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 85 Herrick St, Beverly, MA 01915
Phone: 978-922-3000    Fax: 978-524-6088
Dr. David Goldberg, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: Lahey Cardiology, Beverly, 75 Herrick Street Suite 206, Beverly, MA 01915
Phone: 978-927-8400    Fax: 978-922-1452
Dorina Omari, M.D.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 100 Cummings Ctr, Suite 166 D, Beverly, MA 01915
Phone: 978-712-3360    Fax: 978-712-3392

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