Dr David Joseph Derose, MD is a medicare enrolled "Internal Medicine" physician in Weimar, California. He went to Loma Linda University School Of Medicine and graduated in 1984 and has 42 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Adventist Health Clearlake Hospital Inc. and his current practice location is
20601 West Paoli Lane, Weimar, California. You can reach out to his office (for appointments etc.) via phone at
(530) 637-4111.
Dr David Joseph Derose is licensed to practice in California (license number G83828) 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 1700118700.
Physician's Profile
| Full Name | Dr David Joseph Derose |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 42 Years |
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| Location | 20601 West Paoli Lane, Weimar, California |
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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 Joseph Derose attended and graduated from Loma Linda University School Of Medicine in 1984
NPI Data:
- NPI Number: 1700118700
- Provider Enumeration Date: 02/02/2010
- Last Update Date: 02/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 3173651890
- Enrollment ID: I20100517000371
Medical Identifiers
Medical identifiers for Dr David Joseph Derose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700118700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | G83828 (California) | Primary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | G83828 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Adventist Health Clearlake Hospital Inc. | 3072421197 | 75 |
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 Joseph Derose allows following entities to bill medicare on his behalf.
| Entity Name | Adventist Health St. Helena Ob/gyn |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932176146
PECOS PAC ID: 9234038209
Enrollment ID: O20040108000320 |
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| Entity Name | Adventist Health Clearlake Hospital Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124018031
PECOS PAC ID: 3072421197
Enrollment ID: O20041112000573 |
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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 Joseph Derose 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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Dr David Joseph Derose, MD
Po Box 486,
Weimar, CA 95736-0486
Ph: (530) 637-4111 | Dr David Joseph Derose, MD
20601 West Paoli Lane,
Weimar, CA 95736-0486
Ph: (530) 637-4111 |
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