Dr David J Dedrick, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Appleton, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1994 and has 31 years of diverse experience with area of expertise as Pathology. He is a member of the group practice North Shore Pathologists Sc and his current practice location is
1506 S Oneida St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 738-2000.
Dr David J Dedrick is licensed to practice in Wisconsin (license number 38508-20) 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 1154360931.
Physician's Profile
| Full Name | Dr David J Dedrick |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 31 Years |
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| Location | 1506 S Oneida St, Appleton, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David J Dedrick attended and graduated from University Of Wisconsin School Of Medicine in 1994
NPI Data:
- NPI Number: 1154360931
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 11/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224129531
- Enrollment ID: I20100917000279
Medical Identifiers
Medical identifiers for Dr David J Dedrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154360931 | NPI | - | NPPES |
| 32496700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 38508-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Shore Pathologists Sc | 7113986563 | 15 |
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 David J Dedrick allows following entities to bill medicare on his behalf.
| Entity Name | North Shore Pathologists Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184703829
PECOS PAC ID: 7113986563
Enrollment ID: O20041011000120 |
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| Entity Name | Butte Des Morts Pathology, S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205886918
PECOS PAC ID: 4082705397
Enrollment ID: O20070801000024 |
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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 David J Dedrick 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 |
|---|
Dr David J Dedrick, MD
2323 N Lake Dr,
Milwaukee, WI 53211-4508
Ph: (414) 961-5362 | Dr David J Dedrick, MD
1506 S Oneida St,
Appleton, WI 54915-1305
Ph: (920) 738-2000 |
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