Derek E Clevidence, MD, PHD in Monona, WI

Derek E Clevidence, MD, PHD is a medicare enrolled "Family Medicine" physician in Monona, Wisconsin. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Meriter Hospital Inc and his current practice location is 6408 Copps Ave, Monona, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 417-3000.

Derek E Clevidence is licensed to practice in Wisconsin (license number 42305) 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 1093774135.

Contact Information

	Derek E Clevidence, MD, PHD
	6408 Copps Ave, Monona, WI 53716-3702
	(608) 417-3000
	(608) 417-3100

Map and Direction

Physician's Profile

Full Name	Derek E Clevidence
Gender	Male
Speciality	Family Practice
Experience	27 Years
Location	6408 Copps Ave, Monona, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek E Clevidence attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1997

NPI Data:

NPI Number: 1093774135
Provider Enumeration Date: 03/18/2006
Last Update Date: 05/18/2018

Medicare PECOS Information:

PECOS PAC ID: 1759435951
Enrollment ID: I20090824000159

Medical Identifiers

Medical identifiers for Derek E Clevidence such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093774135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	42305 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Agrace Hospicecare	Madison, WI	Hospice
Meriter Hospital	Madison, WI	Hospital
University Of Wi Hospitals & Clinics Authority	Madison, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meriter Hospital Inc	3971412735	121

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. Derek E Clevidence allows following entities to bill medicare on his behalf.

Entity Name	Meriter Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548280225 PECOS PAC ID: 3971412735 Enrollment ID: O20031126000346

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. Derek E Clevidence 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
Derek E Clevidence, MD, PHD 202 S Park St, Madison, WI 53715-1507 Ph: (608) 417-6000	Derek E Clevidence, MD, PHD 6408 Copps Ave, Monona, WI 53716-3702 Ph: (608) 417-3000

Reviews and Comments

Family Medicine Doctors in Monona, WI

Michael Duane Williams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 E Broadway, Monona, WI 53716 Phone: 608-287-5899 Fax: 608-251-2332
James Clark Ircink, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 E Broadway, Monona, WI 53716 Phone: 608-222-8779 Fax: 608-222-8944
Diane L Wendland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6408 Copps Ave, Monona, WI 53716 Phone: 608-417-3000 Fax: 608-417-3100
Danielle E Hartwig, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1050 E Broadway, Monona, WI 53716 Phone: 608-222-8779
Erica Yumi Yamamoto, Family Medicine Medicare: Medicare Enrolled Practice Location: 1050 E Broadway, Monona, WI 53716 Phone: 608-287-5899 Fax: 608-251-2332
Amy L Bauman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 E Broadway, Monona, WI 53716 Phone: 608-222-8779 Fax: 608-222-8944

Derek E Clevidence, MD, PHD - Medicare Family Practice in Monona, WI