Dr Derek Wiseman, MD in Roseburg, OR - Medicare Family Medicine

Dr Derek Wiseman, MD is a medicare enrolled "Family Medicine" physician in Roseburg, Oregon. His current practice location is 1937 W Harvard Ave, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 677-7200.

Dr Derek Wiseman is licensed to practice in Oregon (license number MD219665) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952988222.

Contact Information

	Dr Derek Wiseman, MD
	1937 W Harvard Ave, Roseburg, OR 97471-2720
	(541) 677-7200
	(541) 229-3309

Map and Direction

Physician's Profile

Full Name	Dr Derek Wiseman
Gender	Male
Speciality	Family Medicine
Location	1937 W Harvard Ave, Roseburg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952988222
Provider Enumeration Date: 03/24/2021
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 9335543107
Enrollment ID: I20240724004590

Medical Identifiers

Medical identifiers for Dr Derek Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952988222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD219665 (Oregon)	Primary

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 Derek Wiseman allows following entities to bill medicare on his behalf.

Entity Name	Centennial Medical Group East Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134436637 PECOS PAC ID: 9234397878 Enrollment ID: O20120228000510

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 Derek Wiseman 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 Derek Wiseman, MD 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200	Dr Derek Wiseman, MD 1937 W Harvard Ave, Roseburg, OR 97471-2720 Ph: (541) 677-7200

Reviews and Comments

Family Medicine Doctors in Roseburg, OR

Misha Marie Peel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596
Dr. John Travis Melling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 Fax: 541-646-3519
Candace Marie Hatton, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 272 Nw Medical Loop Ste B, Roseburg, OR 97471 Phone: 541-537-8007
Dr. Brandon W Bonds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309
Dr. Marie Hebert, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 340 Nw Medical Loop, Roseburg, OR 97471 Phone: 541-464-5907 Fax: 541-464-8481
Dr. Gerald Andrew Jaworski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2282 Nw Troost St, Ste. 101, Roseburg, OR 97471 Phone: 541-673-0609 Fax: 541-440-9387
Vishal Kottapalli, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1937 W Harvard Ave, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309

Dr Derek Wiseman, MD - Medicare Family Medicine in Roseburg, OR