Derek Leonard Ebbeskotte, CNP in Van Wert, OH

Derek Leonard Ebbeskotte, CNP is a medicare enrolled "Nurse Practitioner" in Van Wert, Ohio. His current practice location is 140 Fox Rd Ste 104, Van Wert, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 232-5291.

Derek Leonard Ebbeskotte is licensed to practice in Ohio (license number APRN.CNP.0033549) 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 1437853249.

Contact Information

	Derek Leonard Ebbeskotte, CNP
	140 Fox Rd Ste 104, Van Wert, OH 45891-2490
	(419) 232-5291
	Not Available

Map and Direction

Provider's Profile

Full Name	Derek Leonard Ebbeskotte
Gender	Male
Speciality	Nurse Practitioner
Location	140 Fox Rd Ste 104, Van Wert, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437853249
Provider Enumeration Date: 03/27/2023
Last Update Date: 03/22/2024

Medicare PECOS Information:

PECOS PAC ID: 7517322704
Enrollment ID: I20230421001262

Medical Identifiers

Medical identifiers for Derek Leonard Ebbeskotte such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437853249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN.CNP.0033549 (Ohio)	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. Derek Leonard Ebbeskotte allows following entities to bill medicare on his behalf.

Entity Name	Ohiohealth Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532

Entity Name	Van Wert Medical Services Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942268735 PECOS PAC ID: 5799707402 Enrollment ID: O20051222000076

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. Derek Leonard Ebbeskotte 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
Derek Leonard Ebbeskotte, CNP Po Box 7527, Dublin, OH 43017-0727 Ph: () -	Derek Leonard Ebbeskotte, CNP 140 Fox Rd Ste 104, Van Wert, OH 45891-2490 Ph: (419) 232-5291

Reviews and Comments

Nurse Practitioner Nurses in Van Wert, OH

Mrs. Brittany Mawer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1191 Westwood Dr, Van Wert, OH 45891 Phone: 419-238-6747
Heather Nichole Lee, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 S Washington St, Van Wert, OH 45891 Phone: 419-238-2390
Andrew Gail Beougher, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 Fox Rd Ste 401, Van Wert, OH 45891 Phone: 419-238-4909
Kristen Rae Price, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 Towne Center Blvd, Van Wert, OH 45891 Phone: 419-232-2077 Fax: 419-232-4498
Danielle Decker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1198 Westwood Dr Ste F, Van Wert, OH 45891 Phone: 419-771-1640
Mrs. Megan Marie Wehri, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1052 S Washington St, Van Wert, OH 45891 Phone: 419-238-6747
Kayla Marie Morris, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1198 Westwood Dr Ste F, Van Wert, OH 45891 Phone: 419-771-1640

Derek Leonard Ebbeskotte, CNP - Medicare Nurse Practitioner in Van Wert, OH