Dr Derek F Ugwendum, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Staten Island, New York. His current practice location is
355 Bard Ave, Dept Of Medicine, Villa Building 1st Floor, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 818-2419.
Dr Derek F Ugwendum is licensed to practice in * (Not Available) (license number ) 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 1831654086.
Physician's Profile
Full Name | Dr Derek F Ugwendum |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 355 Bard Ave, Staten Island, New York |
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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. |
Medical Education and Training:
- Dr Derek F Ugwendum attended and graduated from in
NPI Data:
- NPI Number: 1831654086
- Provider Enumeration Date: 02/01/2019
- Last Update Date: 03/30/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Derek F Ugwendum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831654086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | P14761 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Derek F Ugwendum 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 Derek F Ugwendum, MD 355 Bard Ave, Department Of Medicine , Villa Building 1st Floor, Staten Island, NY 10310-1664 Ph: (718) 818-2419 | Dr Derek F Ugwendum, MD 355 Bard Ave, Dept Of Medicine, Villa Building 1st Floor, Staten Island, NY 10310 Ph: (718) 818-2419 |
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