Dr Derek Elser Pehle, PSYD - Medicare Psychologist in Modesto, CA

Dr Derek Elser Pehle, PSYD is a medicare enrolled "Psychologist" provider in Modesto, California. His current practice location is 1024 J St Ste 411, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 544-1031.

Dr Derek Elser Pehle is licensed to practice in California (license number PSY21361) 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 1932225323.

Contact Information

Dr Derek Elser Pehle, PSYD
1024 J St Ste 411,
Modesto, CA 95354-0844
(209) 544-1031
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Derek Elser Pehle
GenderMale
SpecialityPsychologist
Location1024 J St Ste 411, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932225323
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799933321
  • Enrollment ID: I20120924000407

Medical Identifiers

Medical identifiers for Dr Derek Elser Pehle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932225323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY21361 (California)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 Derek Elser Pehle allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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 Elser Pehle 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 Derek Elser Pehle, PSYD
1024 J St Ste 411,
Modesto, CA 95354-0844

Ph: (209) 544-1031
Dr Derek Elser Pehle, PSYD
1024 J St Ste 411,
Modesto, CA 95354-0844

Ph: (209) 544-1031

Reviews and Comments


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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.

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