Dr David Peter Derose, OD in Bloomsburg, PA - Medicare Optometrist Provider

Dr David Peter Derose, OD is a medicare enrolled "Optometrist" provider in Bloomsburg, Pennsylvania. His current practice location is 150 W Hillcrest Dr, Bloomsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 204-6547.

Dr David Peter Derose is licensed to practice in Pennsylvania (license number OEG001317) 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 1992814073.

Contact Information

	Dr David Peter Derose, OD
	150 W Hillcrest Dr, Bloomsburg, PA 17815-6710
	(570) 204-6547
	(570) 387-9135

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David Peter Derose
Gender	Male
Speciality	Optometrist
Location	150 W Hillcrest Dr, Bloomsburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992814073
Provider Enumeration Date: 08/30/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0648296848
Enrollment ID: I20051018000039

Medical Identifiers

Medical identifiers for Dr David Peter Derose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992814073	NPI	-	NPPES
27705	Other	PA	GEISINGER HEALTH PLAN #
OEG001317	Other	PA	PA LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OEG001317 (Pennsylvania)	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. Dr David Peter Derose allows following entities to bill medicare on his behalf.

Provider Name	Independence Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972549657 PECOS PAC ID: 0749351005 Enrollment ID: O20080616000088

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 David Peter Derose 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
Dr David Peter Derose, OD 150 W Hillcrest Dr, Bloomsburg, PA 17815-6710 Ph: (570) 204-6547	Dr David Peter Derose, OD 150 W Hillcrest Dr, Bloomsburg, PA 17815-6710 Ph: (570) 204-6547

Reviews and Comments

Optometrist in Bloomsburg, PA

Dr. David M. Clark, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Lunger Dr, Bloomsburg, PA 17815 Phone: 570-387-5239
Dr. James Joseph Weyand, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 66 W Hillcrest Dr, Bloomsburg, PA 17815 Phone: 570-594-5028 Fax: 570-387-0832
Nicholas Drobny, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 East St, Bloomsburg, PA 17815 Phone: 570-387-8800 Fax: 570-784-8887
Bloom Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 301 East St, Bloomsburg, PA 17815 Phone: 570-387-8800 Fax: 570-784-8887
Dr. Joseph Serniak, OD Optometrist Medicare: Medicare Enrolled Practice Location: 100 Lunger Dr, Bloomsburg, PA 17815 Phone: 570-387-5239 Fax: 570-387-5294
Bogar Vision Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 East St, Bloomsburg, PA 17815 Phone: 570-387-8800
Dr. Laurie Costarelli, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 East St, Bloomsburg, PA 17815 Phone: 570-387-8800 Fax: 570-784-8887

Dr David Peter Derose, OD - Medicare Optometrist in Bloomsburg, PA