Dr Derek Allen Moline, OD is a medicare enrolled "Optometrist" provider in Arden Hills, Minnesota. He went to Illinois College Of Optometry At Chicago and graduated in 2000 and has 26 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Group Health Plan Inc and his current practice location is
1210 County Rd E, Arden Hills, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 523-8400.
Dr Derek Allen Moline is licensed to practice in Minnesota (license number 2783) 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 1588630925.
Healthcare Provider's Profile
| Full Name | Dr Derek Allen Moline |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 26 Years |
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| Location | 1210 County Rd E, Arden Hills, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Derek Allen Moline attended and graduated from Illinois College Of Optometry At Chicago in 2000
NPI Data:
- NPI Number: 1588630925
- Provider Enumeration Date: 02/26/2006
- Last Update Date: 03/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769659721
- Enrollment ID: I20120117000283
Medical Identifiers
Medical identifiers for Dr Derek Allen Moline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588630925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2783 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Group Health Plan Inc | 1759293954 | 1487 |
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 Derek Allen Moline allows following entities to bill medicare on his behalf.
| Provider Name | Group Health Plan Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417 |
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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 Derek Allen Moline 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 |
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Dr Derek Allen Moline, OD
8170 33rd Ave S, Ms 21110q,
Bloomington, MN 55425-4516
Ph: () - | Dr Derek Allen Moline, OD
1210 County Rd E,
Arden Hills, MN 55112-3783
Ph: (651) 523-8400 |
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