Dr John Robert Deharde, OD in Shelbyville, TN - Medicare Optometrist Provider

Dr John Robert Deharde, OD is a medicare enrolled "Optometrist" provider in Shelbyville, Tennessee. His current practice location is 1880 N Main St, Shelbyville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 680-3035.

Dr John Robert Deharde is licensed to practice in Tennessee (license number OD1192) 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 1699824326.

Contact Information

	Dr John Robert Deharde, OD
	1880 N Main St, Shelbyville, TN 37160-2018
	(931) 680-3035
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Robert Deharde
Gender	Male
Speciality	Optometrist
Location	1880 N Main St, Shelbyville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699824326
Provider Enumeration Date: 01/10/2007
Last Update Date: 07/31/2007

Medicare PECOS Information:

PECOS PAC ID: 8325427040
Enrollment ID: I20220626000029

Medical Identifiers

Medical identifiers for Dr John Robert Deharde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699824326	NPI	-	NPPES
47939	Other		DAVIS VISION
45397	Other		SPECTERA
0105045	Other	TN	BC BS OF TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD1192 (Tennessee)	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 John Robert Deharde allows following entities to bill medicare on his behalf.

Provider Name	Tn Doctors Of Optometry Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538827050 PECOS PAC ID: 1557754546 Enrollment ID: O20220216000719

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 John Robert Deharde 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 John Robert Deharde, OD Po Box 1056, Antioch, TN 37011-1056 Ph: (931) 680-3035	Dr John Robert Deharde, OD 1880 N Main St, Shelbyville, TN 37160-2018 Ph: (931) 680-3035

Reviews and Comments

Optometrist in Shelbyville, TN

Dr. Zeke Parker Grissom, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 915 Colloredo Blvd, Shelbyville, TN 37160 Phone: 931-684-2197 Fax: 931-229-1112
Laura Rose Keith, OD Optometrist Medicare: Medicare Enrolled Practice Location: 605 N Main St, Shelbyville, TN 37160 Phone: 931-684-2020
Dale Hasty Optometrist Medicare: Medicare Enrolled Practice Location: 605 N Main St, Shelbyville, TN 37160 Phone: 931-684-2020 Fax: 931-684-7000
Sightrite Medical Tn Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1101 Glenoaks Rd, Shelbyville, TN 37160 Phone: 212-764-0008
Eye Care Center Associates Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 Colloredo Blvd Ste C, Shelbyville, TN 37160 Phone: 931-684-0191 Fax: 931-684-0351
Aundrea Kay Henderson Gregory, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 915 Colloredo Blvd, Shelbyville, TN 37160 Phone: 931-684-2197 Fax: 931-684-8562
Dr. Kathy Lynn Shamblin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 915 Colloredo Blvd, Shelbyville, TN 37160 Phone: 931-684-2197 Fax: 931-684-8562

Dr John Robert Deharde, OD - Medicare Optometrist in Shelbyville, TN