Dr Todd Lewis Dersham, DC is a medicare enrolled "Chiropractor" provider in Rochester, Massachusetts. He went to New York Chiropractic College and graduated in 2009 and has 15 years of diverse experience with area of expertise as Chiropractic. His current practice location is
113 Braley Hill Rd, Rochester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(607) 329-4036.
Dr Todd Lewis Dersham is licensed to practice in Maine (license number CR1993) 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 1437454097.
Healthcare Provider's Profile
| Full Name | Dr Todd Lewis Dersham |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 15 Years |
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| Location | 113 Braley Hill Rd, Rochester, Massachusetts |
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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 Todd Lewis Dersham attended and graduated from New York Chiropractic College in 2009
NPI Data:
- NPI Number: 1437454097
- Provider Enumeration Date: 01/12/2011
- Last Update Date: 01/12/2011
Medicare PECOS Information:
- PECOS PAC ID: 3678713146
- Enrollment ID: I20130703000477
Medical Identifiers
Medical identifiers for Dr Todd Lewis Dersham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437454097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CR1993 (Maine) | 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 Todd Lewis Dersham allows following entities to bill medicare on his behalf.
| Provider Name | Healthsource Of Fall River Chiropractic And Progressive Wellness, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336577162
PECOS PAC ID: 8921221458
Enrollment ID: O20140602000354 |
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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 Todd Lewis Dersham 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 Todd Lewis Dersham, DC
113 Braley Hill Rd,
Rochester, MA 02770-1917
Ph: () - | Dr Todd Lewis Dersham, DC
113 Braley Hill Rd,
Rochester, MA 02770-1917
Ph: (607) 329-4036 |
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