Dr Dennis P Deruelle, MD, FHM is a medicare enrolled "Internal Medicine" physician in Mendota Heights, Minnesota. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southeastern Physician Services Pc and his current practice location is
1270 Northland Dr Ste 250, Mendota Heights, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(813) 966-1077.
Dr Dennis P Deruelle is licensed to practice in Tennessee (license number 60938) 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 1265429203.
Physician's Profile
| Full Name | Dr Dennis P Deruelle |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Experience | 31 Years |
|---|
| Location | 1270 Northland Dr Ste 250, Mendota Heights, Minnesota |
|---|
| 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 Dennis P Deruelle graduated from medical school in 1993
NPI Data:
- NPI Number: 1265429203
- Provider Enumeration Date: 10/04/2005
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123087566
- Enrollment ID: I20200811003167
Medical Identifiers
Medical identifiers for Dr Dennis P Deruelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265429203 | NPI | - | NPPES |
| 253098800 | Medicaid | FL | |
| 41576 | Other | FL | BC FLORIDA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | ME0073520 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 60938 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southeastern Physician Services Pc | 0042307852 | 473 |
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 Dennis P Deruelle allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Physician Services Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571 |
|---|
| Entity Name | App Of Tennessee Hm, Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088 |
|---|
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 Dennis P Deruelle 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 Dennis P Deruelle, MD, FHM
6616 Ellwood Ct,
Nashville, TN 37205-3929
Ph: (813) 966-1077 | Dr Dennis P Deruelle, MD, FHM
1270 Northland Dr Ste 250,
Mendota Heights, MN 55120-1156
Ph: (813) 966-1077 |
Reviews and Comments