Dr Derwood E Basham, DO - Medicare Family Practice in Roseburg, OR

Dr Derwood E Basham, DO is a medicare enrolled "Family Medicine" physician in Roseburg, Oregon. He went to University Of Pikeville, Kentucky College Of Osteopathic Med and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Umpqua Community Health Center Inc and his current practice location is 2371 Ne Stephens St, Suite 200, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 672-8533.

Dr Derwood E Basham is licensed to practice in Oregon (license number DO171270) 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 1053535120.

Contact Information

Dr Derwood E Basham, DO
2371 Ne Stephens St, Suite 200,
Roseburg, OR 97470-1372
(541) 672-8533
(541) 672-4993



Physician's Profile

Full NameDr Derwood E Basham
GenderMale
SpecialityFamily Practice
Experience20 Years
Location2371 Ne Stephens St, Roseburg, Oregon
Accepts Medicare AssignmentsYes. 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 Derwood E Basham attended and graduated from University Of Pikeville, Kentucky College Of Osteopathic Med in 2004
  NPI Data:
  • NPI Number: 1053535120
  • Provider Enumeration Date: 04/12/2007
  • Last Update Date: 07/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6800996141
  • Enrollment ID: I20220124002324

Medical Identifiers

Medical identifiers for Dr Derwood E Basham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053535120NPI-NPPES
165772MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO171270 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterRoseburg, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umpqua Community Health Center Inc034523307821

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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 Derwood E Basham allows following entities to bill medicare on his behalf.
Entity NameUmpqua Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396751772
PECOS PAC ID: 0345233078
Enrollment ID: O20040511000463

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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 Derwood E Basham 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 AddressPractice Location Address
Dr Derwood E Basham, DO
2371 Ne Stephens St, Suite 200,
Roseburg, OR 97470-1372

Ph: (541) 672-8533
Dr Derwood E Basham, DO
2371 Ne Stephens St, Suite 200,
Roseburg, OR 97470-1372

Ph: (541) 672-8533

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Family Medicine Doctors in Roseburg, OR

Dr. John Travis Melling, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470
Phone: 541-672-9596    Fax: 541-646-3519
Candace Marie Hatton, FNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 272 Nw Medical Loop Ste B, Roseburg, OR 97471
Phone: 541-537-8007    
Dr. Brandon W Bonds, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471
Phone: 541-677-7200    Fax: 541-229-3309
Dr. Marie Hebert, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 340 Nw Medical Loop, Roseburg, OR 97471
Phone: 541-464-5907    Fax: 541-464-8481
Dr. Gerald Andrew Jaworski, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2282 Nw Troost St, Ste. 101, Roseburg, OR 97471
Phone: 541-673-0609    Fax: 541-440-9387
Ms. Patricia A Hedges, RD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2371 Ne Stephens St Ste 200, Roseburg, OR 97470
Phone: 541-672-8533    Fax: 541-677-5574

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