Derrick J Sanderson, is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Winona, Minnesota. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2012 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Gundersen Lutheran Medical Center Inc, Gundersen Lutheran Medical Center Inc and his current practice location is
1122 W Highway 61, Winona, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(608) 782-7300.
Derrick J Sanderson is licensed to practice in Wisconsin (license number 81662) 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 1043577448.
Physician's Profile
| Full Name | Derrick J Sanderson |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 13 Years |
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| Location | 1122 W Highway 61, Winona, Minnesota |
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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:
- Derrick J Sanderson attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2012
NPI Data:
- NPI Number: 1043577448
- Provider Enumeration Date: 04/23/2012
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901190313
- Enrollment ID: I20210920000663
Medical Identifiers
Medical identifiers for Derrick J Sanderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043577448 | NPI | - | NPPES |
| 300038901 | Medicaid | IN | |
| 7100666260 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 283330 (New York) | Secondary |
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 02005887A (Indiana) | Secondary |
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 81662 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gundersen Lutheran Medical Center Inc | 2163331414 | 793 |
| Gundersen Lutheran Medical Center Inc | 2163331414 | 793 |
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. Derrick J Sanderson allows following entities to bill medicare on his behalf.
| Entity Name | Gundersen Lutheran Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130807000951 |
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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. Derrick J Sanderson 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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Derrick J Sanderson,
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Derrick J Sanderson,
1122 W Highway 61,
Winona, MN 55987-1957
Ph: (608) 782-7300 |
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