David R Derus, PSYD, LPC-IT is a medicare enrolled "Psychologist" provider in Stevens Point, Wisconsin. He graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Elmergreen Associates, Llc and his current practice location is
3398 E Maria Dr, Stevens Point, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 341-7441.
David R Derus is licensed to practice in Wisconsin (license number 3817) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1295169381.
Healthcare Provider's Profile
| Full Name | David R Derus |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 8 Years |
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| Location | 3398 E Maria Dr, Stevens Point, Wisconsin |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David R Derus graduated from medical school in 2018
NPI Data:
- NPI Number: 1295169381
- Provider Enumeration Date: 08/26/2013
- Last Update Date: 12/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 9032538749
- Enrollment ID: I20200930000561
Medical Identifiers
Medical identifiers for David R Derus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295169381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 1857 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 3817 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Elmergreen Associates, Llc | 1355880329 | 5 |
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. David R Derus allows following entities to bill medicare on his behalf.
| Entity Name | Elmergreen Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922173418
PECOS PAC ID: 1355880329
Enrollment ID: O20240822002818 |
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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. David R Derus 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 |
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David R Derus, PSYD, LPC-IT
3398 E Maria Dr,
Stevens Point, WI 54481-1362
Ph: (715) 341-7441 | David R Derus, PSYD, LPC-IT
3398 E Maria Dr,
Stevens Point, WI 54481-1362
Ph: (715) 341-7441 |
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