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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