Derik Hardesty, OD in Clackamas, OR - Medicare Optometrist Provider

Derik Hardesty, OD is a medicare enrolled "Optometrist" provider in Clackamas, Oregon. His current practice location is 12000 Se 82nd Ave, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 659-5947.

Derik Hardesty is licensed to practice in Oregon (license number AT4638) 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 1003497058.

Contact Information

	Derik Hardesty, OD
	12000 Se 82nd Ave, Clackamas, OR 97086-7721
	(503) 659-5947
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Derik Hardesty
Gender	Male
Speciality	Optometrist
Location	12000 Se 82nd Ave, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003497058
Provider Enumeration Date: 04/20/2021
Last Update Date: 07/05/2022

Medicare PECOS Information:

PECOS PAC ID: 3577944305
Enrollment ID: I20220725002967

Medical Identifiers

Medical identifiers for Derik Hardesty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003497058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	AT4638 (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. Derik Hardesty allows following entities to bill medicare on his behalf.

Provider Name	Pacific Eye Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831656925 PECOS PAC ID: 1355682246 Enrollment ID: O20190402001264

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. Derik Hardesty 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
Derik Hardesty, OD 12000 Se 82nd Ave Ste 2193, Happy Valley, OR 97086-7746 Ph: (503) 659-5947	Derik Hardesty, OD 12000 Se 82nd Ave, Clackamas, OR 97086-7721 Ph: (503) 659-5947

Reviews and Comments

Optometrist in Clackamas, OR

Dr. Julia Sirianni, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066
Rachel A Jorgensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321
John William Reski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066
Mark Edward Mclain, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12100 Se Stevens Ct Suite 106, Clackamas, OR 97086 Phone: 503-353-7269
Bruce Robert Wojciechowski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066
Sydney Kapp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321

Derik Hardesty, OD - Medicare Optometrist in Clackamas, OR