Dr Lexi Derry, OD - Medicare Optometrist in Watertown, WI

Dr Lexi Derry, OD is a medicare enrolled "Optometrist" provider in Watertown, Wisconsin. She went to Illinois College Of Optometry At Chicago and graduated in 2011 and has 13 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Watertown Physician Practices Llc and her current practice location is 123 Hospital Dr, Watertown, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (202) 618-2259.

Dr Lexi Derry is licensed to practice in Wisconsin (license number 3659-35) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063709491.

Contact Information

Dr Lexi Derry, OD
123 Hospital Dr,
Watertown, WI 53098-3331
(202) 618-2259
(920) 261-5343

Map and Direction




Healthcare Provider's Profile

Full NameDr Lexi Derry
GenderFemale
SpecialityOptometry
Experience13 Years
Location123 Hospital Dr, Watertown, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lexi Derry attended and graduated from Illinois College Of Optometry At Chicago in 2011
  NPI Data:
  • NPI Number: 1063709491
  • Provider Enumeration Date: 07/06/2011
  • Last Update Date: 08/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183847189
  • Enrollment ID: I20210213000104

Medical Identifiers

Medical identifiers for Dr Lexi Derry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063709491NPI-NPPES
046010474MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046.010474 (Illinois)Secondary
152W00000XOptometrist 855TG (Texas)Secondary
152W00000XOptometrist 3659-35 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Watertown Memorial HospitalWatertown, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Watertown Physician Practices Llc802232940853

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 Lexi Derry allows following entities to bill medicare on her behalf.
Provider NameWatertown Physician Practices Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770964363
PECOS PAC ID: 8022329408
Enrollment ID: O20150626000114

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 Lexi Derry 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 AddressPractice Location Address
Dr Lexi Derry, OD
123 Hospital Dr,
Watertown, WI 53098-3331

Ph: (217) 841-4810
Dr Lexi Derry, OD
123 Hospital Dr,
Watertown, WI 53098-3331

Ph: (202) 618-2259

Reviews and Comments


Optometrist in Watertown, WI

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Phone: 920-261-9225    Fax: 920-261-7010
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Desiree Monik Herron, O.D.
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Medicare: May Accept Medicare Assignments
Practice Location: 1640 S Church St, Watertown, WI 53094
Phone: 920-390-2971    Fax: 920-390-2974

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.