Dr Derek Chase, MD is a medicare enrolled "Orthopaedic Surgery" physician in Randolph, Vermont. His current practice location is
44 S Main St, Randolph, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 728-7000.
Dr Derek Chase is licensed to practice in Vermont (license number 042-0013275) 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 1205077591.
Physician's Profile
Full Name | Dr Derek Chase |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 44 S Main St, Randolph, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205077591
- Provider Enumeration Date: 03/16/2009
- Last Update Date: 01/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688893035
- Enrollment ID: I20151211001146
Medical Identifiers
Medical identifiers for Dr Derek Chase such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205077591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | LT4373 (New Hampshire) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 042.0013275 (Vermont) | Secondary |
207X00000X | Orthopaedic Surgery | 042-0013275 (Vermont) | 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 Chase allows following entities to bill medicare on his behalf.
Entity Name | Gifford Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942329446 PECOS PAC ID: 4880683663 Enrollment ID: O20040507000460 |
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Entity Name | Northwestern Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538293469 PECOS PAC ID: 5496714313 Enrollment ID: O20081114000535 |
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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 Chase 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 Derek Chase, MD 15 Winterbird Rd, Stowe, VT 05672-4646 Ph: (802) 598-1870 | Dr Derek Chase, MD 44 S Main St, Randolph, VT 05060-1381 Ph: (802) 728-7000 |
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