DR. ANNE MERRYLEES DERSCH MD
NPI 1902462286
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Phoenix, AZ

NPI Status: Active since May 13, 2019

Contact Information

1919 E THOMAS RD
PHOENIX, AZ
ZIP 85016
Phone: (602) 933-3937
Fax: (602) 933-2409

Get Directions Write a Review

  • Individual
  • Female
  • Years of Experience 7
  • Ophthalmology
  • Pediatric Ophthalmology and Strabismus S...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANNE DERSCH

This page provides the complete NPI Profile along with additional information for Anne Dersch, a provider established in Phoenix, Arizona with a medical specialization in Ophthalmology, focusing in pediatric ophthalmology and strabismus specialist and more than 7 years of experience. She graduated from Oakland Univ, William Beaumont School Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1902462286 assigned on May 2019. The practitioner's primary taxonomy code is 207WX0110X with license number 72593 (AZ). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1902462286
Provider Name
DR. ANNE MERRYLEES DERSCH MD
Gender
Female
Entity Type
Individual
Location Address
1919 E THOMAS RD PHOENIX, AZ 85016
Location Phone
(602) 933-3937
Location Fax
(602) 933-2409
Mailing Address
2108 E THOMAS RD STE 130 PHOENIX, AZ 85016
Mailing Phone
(602) 933-3124
Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduation Year
2019
Is Sole Proprietor?
Yes
Enumeration Date
05-13-2019
Last Update Date
09-11-2024
Code Navigator

Location Map

Secondary Locations

  • 1633 N Capitol Ave
    Indianapolis, IN 46202
    (317) 962-8881

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology Pediatric Ophthalmology and Strabismus Specialist

Taxonomy Code
207WX0110X
Type
Allopathic & Osteopathic Physicians
License No.
72593
License State
AZ
Taxonomy Description
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Standard - HMO
  • Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Standard - HMO
  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Anne Dersch is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Anne Dersch is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2668700766

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240626001837

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.92 for a new patient copayment and $17.31 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85016 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.71
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $31.92
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.24
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $17.31
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ANNE MERRYLEES DERSCH MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902462286, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 8 + 6 + 4 + 2 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1902462286.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine (Pediatric Emergency Medicine)
1919 E THOMAS RD, DEPARTMENT OF EMERGENCY MEDICINE
PHOENIX, AZ 85016
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Critical Care Medicine)
1919 E THOMAS RD, SUITE 1891
PHOENIX, AZ 85016
Pediatrics (Pediatric Nephrology)
1919 E THOMAS RD, BLDG B DEPT OF NEPHROLOGY
PHOENIX, AZ 85016
Pediatrics (Pediatric Hematology-Oncology)
1919 E THOMAS RD, BLDG B DEPT OF HEMATOLOGY/ONCOLOGY
PHOENIX, AZ 85016
Pediatrics (Pediatric Hematology-Oncology)
1919 E THOMAS RD, BLDG B
PHOENIX, AZ 85016
Clinical Neuropsychologist
1919 E THOMAS RD, BLDG B
PHOENIX, AZ 85016
Pediatrics (Pediatric Emergency Medicine)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Hematology-Oncology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Emergency Medicine)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pathology (Pediatric Pathology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Emergency Medicine)
1919 E THOMAS RD
PHOENIX, AZ 85016
Medical Genetics (Clinical Genetics (M.D.))
1919 E THOMAS RD, EAST BUILDING
PHOENIX, AZ 85016
Pediatrics (Neonatal-Perinatal Medicine)
1919 E THOMAS RD, BLDG C RM 1354
PHOENIX, AZ 85016
Nurse Practitioner (Neonatal, Critical Care)
1919 E THOMAS RD
PHOENIX, AZ 85016
Nurse Practitioner (Neonatal)
1919 E THOMAS RD
PHOENIX, AZ 85016
Registered Nurse (Neonatal Intensive Care)
1919 E THOMAS RD, PHOENIX CHILDREN'S HOSPITAL - NICU
PHOENIX, AZ 85016
Nurse Practitioner (Neonatal)
1919 E THOMAS RD, EAST BUILDING
PHOENIX, AZ 85016
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016
Radiology (Diagnostic Radiology)
1919 E THOMAS RD, PHOENIX CHILDRENS HOSP
PHOENIX, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902462286, enumerated as an "individual" on May 13, 2019.

The provider is located at 1919 E THOMAS RD PHOENIX, AZ 85016 and the phone number is (602) 933-3937.

Ophthalmology with taxonomy code 207WX0110X and a focus in Pediatric Ophthalmology and Strabismus Specialist.

The provider might be accepting Accepts: Antidote Health Plan of Arizona, Inc., Blue Cross. Please consult your insurance carrier or call the provider to verify.