Dr Patrick Derby, DPM - Medicare Podiatrist in Tampa, FL

Dr Patrick Derby, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Tampa, Florida. He went to California School Of Podiatric Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice All Podiatry Group Inc. and his current practice location is 2511 W Dr Martin Luther King Jr Blvd, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 879-7850.

Dr Patrick Derby is licensed to practice in Florida (license number PO4422) 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 1073075222.

Contact Information

Dr Patrick Derby, DPM
2511 W Dr Martin Luther King Jr Blvd,
Tampa, FL 33607-6301
(813) 879-7850
(813) 870-3569



Healthcare Provider's Profile

Full NameDr Patrick Derby
GenderMale
SpecialityPodiatry
Experience5 Years
Location2511 W Dr Martin Luther King Jr Blvd, Tampa, Florida
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 Patrick Derby attended and graduated from California School Of Podiatric Medicine in 2019
  NPI Data:
  • NPI Number: 1073075222
  • Provider Enumeration Date: 04/04/2019
  • Last Update Date: 02/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264767433
  • Enrollment ID: I20220613002182

Medical Identifiers

Medical identifiers for Dr Patrick Derby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073075222NPI-NPPES
OPOAVOtherFLBCBS
7333506OtherFLCIGNA ID
114530400MedicaidFL
6605657OtherFLAETNA
15659126OtherCAQH ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist PO4422 (Florida)Secondary
213EP1101XPodiatrist - Primary Podiatric Medicine PO4422 (Florida)Secondary
213ES0000XPodiatrist - Sports Medicine PO4422 (Florida)Secondary
213ES0131XPodiatrist - Foot Surgery PO4422 (Florida)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery PO4422 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Josephs HospitalTampa, FLHospital
Tampa General HospitalTampa, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
All Podiatry Group Inc.004225214016

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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 Patrick Derby allows following entities to bill medicare on his behalf.
Provider NameAll Podiatry Group Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437207933
PECOS PAC ID: 0042252140
Enrollment ID: O20050531000341

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Provider NameTampa General Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043557853
PECOS PAC ID: 7416253828
Enrollment ID: O20160310002525

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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 Patrick 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
Dr Patrick Derby, DPM
15815 Shaddock Dr Ste 130,
Winter Garden, FL 34787-5773

Ph: (813) 400-1140
Dr Patrick Derby, DPM
2511 W Dr Martin Luther King Jr Blvd,
Tampa, FL 33607-6301

Ph: (813) 879-7850

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Podiatrist in Tampa, FL

Dr. Paul Arthur Richter, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 7926 W Hillsborough Ave, Suite G, Tampa, FL 33615
Phone: 813-886-9180    Fax: 813-888-9093
Juan J Rivera, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2835 W De Leon St, Suite 101, Tampa, FL 33609
Phone: 813-254-6592    Fax: 813-254-3634
Senior Foot Care Llc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 12903 N Howard Ave, Tampa, FL 33612
Phone: 239-297-2876    
Paul L Sheehy Jr Dpm Pa
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 812 W Mlk Jr Blvd, Suite 101, Tampa, FL 33603
Phone: 813-872-8939    Fax: 813-872-8649
Advanced Tampa Bay Foot Care
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 4543 S Manhattan Ave, Suite 104, Tampa, FL 33611
Phone: 813-831-3813    
Paul L Sheehy Jr, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 812 W Mlk Jr Blvd, Suite #101, Tampa, FL 33603
Phone: 813-872-8939    Fax: 813-872-8649
Dr. Saleena Ruth Niehaus, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 508 S Habana Ave Ste 230, Tampa, FL 33609
Phone: 813-877-6636    

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