Dominic Derenge, DO in Philadelphia, PA - Medicare Family Practice

Dominic Derenge, DO is a medicare enrolled "Family Medicine" physician in Philadelphia, Pennsylvania. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Esperanza Health Center, Inc. and his current practice location is 4417 N 6th St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 302-6000.

Dominic Derenge is licensed to practice in Pennsylvania (license number OS019248) 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 1033598339.

Contact Information

	Dominic Derenge, DO
	4417 N 6th St, Philadelphia, PA 19140-2319
	(215) 302-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dominic Derenge
Gender	Male
Speciality	Family Practice
Experience	9 Years
Location	4417 N 6th St, Philadelphia, Pennsylvania
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:

Dominic Derenge graduated from medical school in 2015

NPI Data:

NPI Number: 1033598339
Provider Enumeration Date: 05/20/2015
Last Update Date: 10/10/2018

Medicare PECOS Information:

PECOS PAC ID: 5395091029
Enrollment ID: I20180710002962

Medical Identifiers

Medical identifiers for Dominic Derenge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033598339	NPI	-	NPPES
1034592020004	Medicaid	PA
1034592020002	Medicaid	PA
1034592020003	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS019248 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Esperanza Health Center, Inc.	6103815071	25

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. Dominic Derenge allows following entities to bill medicare on his behalf.

Entity Name	Esperanza Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255726659 PECOS PAC ID: 6103815071 Enrollment ID: O20040507000367

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. Dominic Derenge 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
Dominic Derenge, DO 4417 N 6th St, Philadelphia, PA 19140-2319 Ph: (215) 302-3600	Dominic Derenge, DO 4417 N 6th St, Philadelphia, PA 19140-2319 Ph: (215) 302-6000

Reviews and Comments

Family Medicine Doctors in Philadelphia, PA

Srikar Vegesna, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2118 Cottman Ave, Philadelphia, PA 19149 Phone: 215-342-3020 Fax: 215-342-3653
Chelsea Tiffany Salas-tam, Family Medicine Medicare: Medicare Enrolled Practice Location: 833 Chestnut St Ste 301, Philadelphia, PA 19107 Phone: 215-955-7190
Meng-chao Lee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 Central Ave Ste 104, Philadelphia, PA 19111 Phone: 215-742-0712 Fax: 215-742-5218
Carol Bowes-lawlor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 E Chestnut Hill Ave, Philadelphia, PA 19118 Phone: 215-753-9080 Fax: 215-753-8830
Dr. Seung Hee Hong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 150, Philadelphia, PA 19134 Phone: 215-926-3535 Fax: 215-926-3536
Dr. Denise Hamilton Christian, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 251 E Bringhurst St, Philadelphia, PA 19144 Phone: 215-844-1020 Fax: 215-844-8147
Mara Leyzin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8025 Castor Ave, Philadelphia, PA 19152 Phone: 215-745-9900 Fax: 215-745-9902

Dominic Derenge, DO - Medicare Family Practice in Philadelphia, PA