Dr Jack Derby, OD in Marion, IN - Medicare Optometry Provider

Dr Jack Derby, OD is a medicare enrolled "Optometrist" provider in Marion, Indiana. He went to Indiana University - School Of Optometry and graduated in 2015 and has 9 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Marion Family Optometrists Inc and his current practice location is 506 S Washington St, Marion, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 662-6648.

Dr Jack Derby is licensed to practice in Indiana (license number 18003896A) 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 1841671948.

Contact Information

	Dr Jack Derby, OD
	506 S Washington St, Marion, IN 46953-1961
	(765) 662-6648
	(765) 662-6250

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jack Derby
Gender	Male
Speciality	Optometry
Experience	9 Years
Location	506 S Washington St, Marion, Indiana
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:

Dr Jack Derby attended and graduated from Indiana University - School Of Optometry in 2015

NPI Data:

NPI Number: 1841671948
Provider Enumeration Date: 06/15/2015
Last Update Date: 06/15/2015

Medicare PECOS Information:

PECOS PAC ID: 5991019382
Enrollment ID: I20150729008368

Medical Identifiers

Medical identifiers for Dr Jack Derby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841671948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18003896A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Marion Family Optometrists Inc	5395803290	6

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 Jack Derby allows following entities to bill medicare on his behalf.

Provider Name	Marion Family Optometrists Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457534125 PECOS PAC ID: 5395803290 Enrollment ID: O20081022000007

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 Jack Derby 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 Jack Derby, OD 506 S Washington St, Marion, IN 46953-1961 Ph: (765) 662-6648	Dr Jack Derby, OD 506 S Washington St, Marion, IN 46953-1961 Ph: (765) 662-6648

Reviews and Comments

Optometrist in Marion, IN

Melvin L. Frecker O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 304 S Baldwin Ave, Marion, IN 46952 Phone: 765-664-7647 Fax: 765-668-1495
Dr. Michael S. Zirkle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 W 38th St, Marion, IN 46953 Phone: 765-674-7525 Fax: 765-674-7844
Dr. Melvin L. Frecker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1402 W Spencer Ave, Marion, IN 46952 Phone: 765-664-7647 Fax: 765-668-1495
Preferred Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 711 N River Dr, Marion, IN 46952 Phone: 765-664-9637 Fax: 765-664-9792
Dr. Christopher M. Kerby, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 711 N River Dr, Marion, IN 46952 Phone: 765-664-9637 Fax: 765-664-9792
Dr. Daniel D Diedrich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1400 N Baldwin Ave, Marion, IN 46952 Phone: 765-664-6148 Fax: 765-664-9782
Midwest Eye Consultants #02 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 N Baldwin Ave, Marion, IN 46952 Phone: 765-664-6148 Fax: 765-664-9782

Dr Jack Derby, OD - Medicare Optometrist in Marion, IN