Dr Derek Louis Paris, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Grabill, Indiana. His current practice location is
11307 Notestine Rd, Grabill, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 627-0844.
Dr Derek Louis Paris is licensed to practice in Indiana (license number ) 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 1912939000.
Healthcare Provider's Profile
Full Name | Dr Derek Louis Paris |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 11307 Notestine Rd, Grabill, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912939000
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3971579079
- Enrollment ID: I20040909000760
Medical Identifiers
Medical identifiers for Dr Derek Louis Paris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912939000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | (Indiana) | 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 Louis Paris allows following entities to bill medicare on his behalf.
Entity Name | Paris Psychological Services,pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548530215 PECOS PAC ID: 1153581673 Enrollment ID: O20120321000021 |
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Entity Name | Fwbh Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932843117 PECOS PAC ID: 3274909528 Enrollment ID: O20230123002617 |
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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 Louis Paris 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 Louis Paris, PSYD 11307 Notestine Rd, Grabill, IN 46741-9735 Ph: (260) 627-0844 | Dr Derek Louis Paris, PSYD 11307 Notestine Rd, Grabill, IN 46741-9735 Ph: (260) 627-0844 |
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