Dr David Bruce Tick, MD is a medicare enrolled "Internal Medicine" physician in Thiensville, Wisconsin. He went to Rush Medical College Of Rush University and graduated in 1983 and has 41 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Interpedia Sc and his current practice location is
216 Green Bay Rd Ste 109, Thiensville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 241-5414.
Dr David Bruce Tick is licensed to practice in Wisconsin (license number 34022) 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 1972571313.
Physician's Profile
| Full Name | Dr David Bruce Tick |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 41 Years |
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| Location | 216 Green Bay Rd Ste 109, Thiensville, 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 Bruce Tick attended and graduated from Rush Medical College Of Rush University in 1983
NPI Data:
- NPI Number: 1972571313
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 05/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 7911802434
- Enrollment ID: I20031205000682
Medical Identifiers
Medical identifiers for Dr David Bruce Tick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972571313 | NPI | - | NPPES |
| 110174900 | Other | WI | RAILROAD MEDICARE |
| 33540257 | Other | WI | CHAMPUS |
| 31891200 | Medicaid | WI | |
| 050577505014 | Other | WI | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 34022 (Virginia) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 34022 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 34022 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Interpedia Sc | 5698856375 | 4 |
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 Bruce Tick allows following entities to bill medicare on his behalf.
| Entity Name | Interpedia Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568432979
PECOS PAC ID: 5698856375
Enrollment ID: O20080118000721 |
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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 Bruce Tick 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 Bruce Tick, MD
216 Green Bay Rd Ste 109,
Thiensville, WI 53092-1625
Ph: (262) 241-5414 | Dr David Bruce Tick, MD
216 Green Bay Rd Ste 109,
Thiensville, WI 53092
Ph: (262) 241-5414 |
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