Mr Derek Brent Kordenbrock, NP in Medford, OR

Mr Derek Brent Kordenbrock, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Medford, Oregon. His current practice location is 1345 Center Dr Unit A, Medford, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 734-9030.

Mr Derek Brent Kordenbrock is licensed to practice in Oregon (license number 201604376NP-PP) 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 1245579408.

Contact Information

	Mr Derek Brent Kordenbrock, NP
	1345 Center Dr Unit A, Medford, OR 97501-7945
	(541) 734-9030
	(541) 734-9885

Map and Direction

Provider's Profile

Full Name	Mr Derek Brent Kordenbrock
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	1345 Center Dr Unit A, 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: 1245579408
Provider Enumeration Date: 02/07/2013
Last Update Date: 03/20/2023

Medicare PECOS Information:

PECOS PAC ID: 5092093245
Enrollment ID: I20161024001229

Medical Identifiers

Medical identifiers for Mr Derek Brent Kordenbrock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245579408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	22446 (California)	Secondary
363LX0106X	Nurse Practitioner - Occupational Health	201604376NP-PP (Oregon)	Secondary
363LX0106X	Nurse Practitioner - Occupational Health	22446 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	201604376NP-PP (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. Mr Derek Brent Kordenbrock allows following entities to bill medicare on his behalf.

Entity Name	Valley Immediate Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982709226 PECOS PAC ID: 7618876723 Enrollment ID: O20040107000951

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. Mr Derek Brent Kordenbrock 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
Mr Derek Brent Kordenbrock, NP 815 N Central Ave Ste C, Medford, OR 97501-5873 Ph: (541) 734-9030	Mr Derek Brent Kordenbrock, NP 1345 Center Dr Unit A, Medford, OR 97501-7945 Ph: (541) 734-9030

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

Mr Derek Brent Kordenbrock, NP - Medicare Nurse Practitioner in Medford, OR