Robert Didericksen, PMHNP-BC in Eugene, OR - Medicare Nurse Practitioner

Robert Didericksen, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Eugene, Oregon. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Center For Family Development, Inc. and his current practice location is 1501 Pearl St, Eugene, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 342-8437.

Robert Didericksen is licensed to practice in Colorado (license number 0995173) 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 1407231244.

Contact Information

	Robert Didericksen, PMHNP-BC
	1501 Pearl St, Eugene, OR 97401-4010
	(541) 342-8437
	Not Available

Map and Direction

Provider's Profile

Full Name	Robert Didericksen
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1501 Pearl St, Eugene, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Robert Didericksen graduated from nursing school in 2019

NPI Data:

NPI Number: 1407231244
Provider Enumeration Date: 07/22/2015
Last Update Date: 11/04/2021

Medicare PECOS Information:

PECOS PAC ID: 0143656710
Enrollment ID: I20210618001566

Medical Identifiers

Medical identifiers for Robert Didericksen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407231244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0995173 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Center For Family Development, Inc.	2466629217	10

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. Robert Didericksen allows following entities to bill medicare on his behalf.

Entity Name	Center For Family Development, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265609184 PECOS PAC ID: 2466629217 Enrollment ID: O20120118000693

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. Robert Didericksen 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
Robert Didericksen, PMHNP-BC 1258 High St, Eugene, OR 97401-3238 Ph: (541) 342-8437	Robert Didericksen, PMHNP-BC 1501 Pearl St, Eugene, OR 97401-4010 Ph: (541) 342-8437

Reviews and Comments

Nurse Practitioner Nurses in Eugene, OR

Dr. Barbara Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 995 Willagillespie Rd # 100, Eugene, OR 97401 Phone: 541-484-5437
Lindsey Wilson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Coburg Rd Ste 201, Eugene, OR 97401 Phone: 541-687-8581 Fax: 541-343-1411
Laurie C Carmichael, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 440, Eugene, OR 97401 Phone: 458-205-6061 Fax: 541-687-6067
Mrs. Christy J. Green, PMHNP-BC; FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Pearl St Ste 102, Eugene, OR 97401 Phone: 541-687-2063
Mrs. Nelda Ogden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4010 Aerial Way, Eugene, OR 97402 Phone: 541-242-8300 Fax: 541-242-8335
Jonathan Shaw, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 Coburg Rd Unit 502, Eugene, OR 97401 Phone: 888-468-9669 Fax: 541-632-4850
Jeanette L Welker, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Executive Pkwy, Suite 360, Eugene, OR 97401 Phone: 541-344-4594 Fax: 541-686-6295

Robert Didericksen, PMHNP-BC - Medicare Nurse Practitioner in Eugene, OR