Dr Tom C Deroche, MD - Medicare Pathology in Clackamas, OR

Dr Tom C Deroche, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Clackamas, Oregon. He went to Saint Louis University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 10180 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 652-2880.

Dr Tom C Deroche is licensed to practice in Oregon (license number MD172846) 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 1407021512.

Contact Information

Dr Tom C Deroche, MD
10180 Se Sunnyside Rd,
Clackamas, OR 97015-8970
(503) 652-2880
Not Available



Physician's Profile

Full NameDr Tom C Deroche
GenderMale
SpecialityPathology
Experience19 Years
Location10180 Se Sunnyside Rd, Clackamas, 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 Tom C Deroche attended and graduated from Saint Louis University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1407021512
  • Provider Enumeration Date: 04/29/2008
  • Last Update Date: 05/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719160415
  • Enrollment ID: I20150921001264

Medical Identifiers

Medical identifiers for Dr Tom C Deroche such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407021512NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MD172846 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Northwest57996882301482

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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 Tom C Deroche allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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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 Tom C Deroche 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 Tom C Deroche, MD
13705 Ne Airport Way Ste C,
Portland, OR 97230-1048

Ph: (503) 652-2880
Dr Tom C Deroche, MD
10180 Se Sunnyside Rd,
Clackamas, OR 97015-8970

Ph: (503) 652-2880

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Pathology Doctors in Clackamas, OR

Dr. Karen Gunson, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 13309 Se 84th Ave Ste 100, Clackamas, OR 97015
Phone: 971-673-8216    Fax: 971-673-8321
Dr. Larry Victor Lewman, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 13309 Se 84th Ave Ste 100, Clackamas, OR 97015
Phone: 971-673-8218    Fax: 971-673-8321
Dr. Christopher Ray Young, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 13309 Se 84th Ave Ste 100, Clackamas, OR 97015
Phone: 971-673-8220    Fax: 971-673-8321
Dr. Clifford Conrad Nelson, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 13309 Se 84th Ave, Suite 100, Clackamas, OR 97015
Phone: 971-673-8200    
Dr. Daniel Wade Davis, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 13309 Se 84th Ave Ste 100, Clackamas, OR 97015
Phone: 971-673-8200    

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