Dr Derek James Dake, OD is a medicare enrolled "Optometrist" provider in Newberry, Michigan. He went to Ferris State College - College Of Optometry and graduated in 2018 and has 6 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Dale W Muth Od Pllc and his current practice location is
504 W Harrie St, Newberry, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 291-2015.
Dr Derek James Dake is licensed to practice in Michigan (license number 4901005127) 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 1740766716.
Healthcare Provider's Profile
| Full Name | Dr Derek James Dake |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 6 Years |
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| Location | 504 W Harrie St, Newberry, Michigan |
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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 James Dake attended and graduated from Ferris State College - College Of Optometry in 2018
NPI Data:
- NPI Number: 1740766716
- Provider Enumeration Date: 07/12/2018
- Last Update Date: 07/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 9436408556
- Enrollment ID: I20180823000926
Medical Identifiers
Medical identifiers for Dr Derek James Dake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740766716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4901005127 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dale W Muth Od Pllc | 8325108780 | 3 |
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 James Dake allows following entities to bill medicare on his behalf.
| Provider Name | Dale W Muth Od Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1255463162
PECOS PAC ID: 8325108780
Enrollment ID: O20081115000177 |
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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 James Dake 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 James Dake, OD
315 W Victory Way,
Newberry, MI 49868-1647
Ph: (906) 322-3312 | Dr Derek James Dake, OD
504 W Harrie St,
Newberry, MI 49868-1200
Ph: (906) 291-2015 |
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