Dr Derek Elser Pehle, PSYD in Modesto, CA - Medicare Psychologist Provider

Dr Derek Elser Pehle, PSYD is a medicare enrolled "Psychologist" provider in Modesto, California. His current practice location is 1024 J St Ste 411, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 544-1031.

Dr Derek Elser Pehle is licensed to practice in California (license number PSY21361) 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 1932225323.

Contact Information

	Dr Derek Elser Pehle, PSYD
	1024 J St Ste 411, Modesto, CA 95354-0844
	(209) 544-1031
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Derek Elser Pehle
Gender	Male
Speciality	Psychologist
Location	1024 J St Ste 411, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932225323
Provider Enumeration Date: 03/21/2007
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5799933321
Enrollment ID: I20120924000407

Medical Identifiers

Medical identifiers for Dr Derek Elser Pehle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932225323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY21361 (California)	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 Elser Pehle allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Elser Pehle 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 Elser Pehle, PSYD 1024 J St Ste 411, Modesto, CA 95354-0844 Ph: (209) 544-1031	Dr Derek Elser Pehle, PSYD 1024 J St Ste 411, Modesto, CA 95354-0844 Ph: (209) 544-1031

Reviews and Comments

Psychologist in Modesto, CA

Dr. Kurt Dayne Baker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4125 Bangs Ave, Modesto, CA 95356 Phone: 209-557-2300
Dr. Elizabeth Marshall Swearingen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Coffee Rd, Ste. C, Modesto, CA 95355 Phone: 209-577-4059 Fax: 209-572-2469
Dr. Marlene Cresci Cohen, PHD, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1015 12th St, Modesto, CA 95354 Phone: 209-522-2992 Fax: 209-522-2993
Dr. James Oral Henman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 706 13th St, Modesto, CA 95354 Phone: 209-577-1667 Fax: 209-577-3805
Dr. Tamara Lynn Elkins, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 802 14th St, Ste G, Modesto, CA 95354 Phone: 209-521-4334 Fax: 209-521-4334
Dr. Marcus C Kluender, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Coffee Road, Ste C, Modesto, CA 95355 Phone: 209-572-1301 Fax: 209-572-2469
Maria Nenova, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd Ste 2a2, Modesto, CA 95356 Phone: 209-735-4466

Dr Derek Elser Pehle, PSYD - Medicare Psychologist in Modesto, CA