Craig Daniel Destree, - Medicare Internal Medicine in Appleton, WI

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Craig Daniel Destree, is a medicare enrolled "Internal Medicine" physician in Appleton, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Divine Savior Healthcare Inc and his current practice location is 1818 N Meade St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 735-7645.

Craig Daniel Destree is licensed to practice in Wisconsin (license number 64357) 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 1154732063.

Contact Information

Craig Daniel Destree,
1818 N Meade St,
Appleton, WI 54911-3454
(920) 735-7645
(920) 735-7618

Map and Direction




Physician's Profile

Full NameCraig Daniel Destree
GenderMale
SpecialityInternal Medicine
Experience11 Years
Location1818 N Meade St, Appleton, Wisconsin
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:
  • Craig Daniel Destree attended and graduated from University Of Wisconsin School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1154732063
  • Provider Enumeration Date: 05/13/2014
  • Last Update Date: 10/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062722895
  • Enrollment ID: I20151106002246

Medical Identifiers

Medical identifiers for Craig Daniel Destree such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154732063NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 64357 (Wisconsin)Primary
208M00000XHospitalist 64357 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Divine Savior HealthcarePortage, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Divine Savior Healthcare Inc579968400794

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. Craig Daniel Destree allows following entities to bill medicare on his behalf.
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Entity NameAspirus Wausau Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922321140
PECOS PAC ID: 6406757442
Enrollment ID: O20040114000297
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909
Entity NameAspirus Stevens Point Hospital & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538112230
PECOS PAC ID: 1850358938
Enrollment ID: O20041210000558
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254
Entity NameAspirus Stanley Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053391730
PECOS PAC ID: 8325957095
Enrollment ID: O20140321001620

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. Craig Daniel Destree 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
Craig Daniel Destree,
3 Neenah Ctr,
Neenah, WI 54956-3070

Ph: (920) 830-5900		Craig Daniel Destree,
1818 N Meade St,
Appleton, WI 54911-3454

Ph: (920) 735-7645

Reviews and Comments


Internal Medicine Doctors in Appleton, WI

Dirk Steinert, MD
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Phone: 920-830-6877    Fax: 920-993-5037
Mrs. Shannon Leah Schmidt,
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Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-364-3600    Fax: 920-364-3900
Dr. Sanjeevkumar Ashok Patel, M.D
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Gail Mary Mcnutt, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 10 Tri Park Way, Appleton, WI 54914
Phone: 920-831-0070    Fax: 920-831-7936
Dong Bo Yu,
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Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    Fax: 920-225-1414
Deborah A Ihde, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-731-5811    Fax: 920-738-6293
Mary Jo Stastny, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 10 Tri Park Way, Appleton, WI 54914
Phone: 920-831-7919    Fax: 920-831-7939

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.