Mary K Derlacki, FNP in Eugene, OR - Medicare Internal Medicine

Mary K Derlacki, FNP is a medicare enrolled "Internal Medicine - Rheumatology" physician in Eugene, Oregon. Her current practice location is 132 E Broadway, Suite 830, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 687-0816.

Mary K Derlacki is licensed to practice in Oregon (license number 090006104N1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609947431.

Contact Information

	Mary K Derlacki, FNP
	132 E Broadway, Suite 830, Eugene, OR 97401-3160
	(541) 687-0816
	(541) 687-1086

Map and Direction

Physician's Profile

Full Name	Mary K Derlacki
Gender	Female
Speciality	Internal Medicine - Rheumatology
Location	132 E Broadway, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609947431
Provider Enumeration Date: 11/13/2006
Last Update Date: 07/13/2010

Medicare PECOS Information:

PECOS PAC ID: 4183712052
Enrollment ID: I20071112000299

Medical Identifiers

Medical identifiers for Mary K Derlacki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609947431	NPI	-	NPPES
005785	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	090006104N1 (Oregon)	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. Mary K Derlacki allows following entities to bill medicare on her behalf.

Entity Name	Drs Cassell & Boren Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316035728 PECOS PAC ID: 7012904295 Enrollment ID: O20040429000047

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. Mary K Derlacki 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 Address	Practice Location Address
Mary K Derlacki, FNP 132 E Broadway, Suite 830, Eugene, OR 97401-3160 Ph: (541) 687-0816	Mary K Derlacki, FNP 132 E Broadway, Suite 830, Eugene, OR 97401-3160 Ph: (541) 687-0816

Reviews and Comments

Internal Medicine Doctors in Eugene, OR

Richard Romm, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 677 E 12th Ave, Suite N400, Eugene, OR 97401 Phone: 541-484-4332 Fax: 541-302-0786
William E Wilkins Jr., M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 330 S Garden Way Ste 350, Eugene, OR 97401 Phone: 541-746-6816
Dr. Norman Paul Hudson, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2479 Oakmont Way, Eugene, OR 97401 Phone: 541-484-0195 Fax: 541-343-6317
Kirk Douglas Jacobson, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1488 Oak St, Eugene, OR 97401 Phone: 541-431-0000 Fax: 541-344-6176
Matthew B. Walter, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3125 Chad Dr Ste 100, Eugene, OR 97408 Phone: 541-687-1712 Fax: 541-687-7943
Sarah Cassell, Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 132 E Broadway Ste 830, Eugene, OR 97401 Phone: 541-687-0816 Fax: 541-687-1086
Dr. Klarissa N Beller, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1200 Hilyard St Ste 520a, Eugene, OR 97401 Phone: 541-687-6041 Fax: 541-687-6009

Mary K Derlacki, FNP - Medicare Internal Medicine in Eugene, OR