Kaia Elaine Deroche, DNP in Medford, OR - Medicare Nurse Practitioner

Kaia Elaine Deroche, DNP is a medicare enrolled "Nurse Practitioner - Family" in Medford, Oregon. Her current practice location is 638 Market St, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 535-6239.

Kaia Elaine Deroche is licensed to practice in Oregon (license number 10004843) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376297572.

Contact Information

	Kaia Elaine Deroche, DNP
	638 Market St, Medford, OR 97504-6126
	(541) 535-6239
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaia Elaine Deroche
Gender	Female
Speciality	Nurse Practitioner - Family
Location	638 Market St, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376297572
Provider Enumeration Date: 02/07/2022
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1052786464
Enrollment ID: I20230417000412

Medical Identifiers

Medical identifiers for Kaia Elaine Deroche such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376297572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	RN95240413 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	10004843 (Oregon)	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. Kaia Elaine Deroche allows following entities to bill medicare on her behalf.

Entity Name	Nisha Jackson Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124499124 PECOS PAC ID: 6305147745 Enrollment ID: O20151209000878

Entity Name	Onepeak Southern Oregon Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740917558 PECOS PAC ID: 5395129670 Enrollment ID: O20220906001662

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. Kaia Elaine Deroche 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
Kaia Elaine Deroche, DNP 931 Chevy Way, Medford, OR 97504-4127 Ph: () -	Kaia Elaine Deroche, DNP 638 Market St, Medford, OR 97504-6126 Ph: (541) 535-6239

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121

Kaia Elaine Deroche, DNP - Medicare Nurse Practitioner in Medford, OR