Dr Theodore Scott Derse, MD - Medicare Family Practice in Zebulon, NC

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Dr Theodore Scott Derse, MD is a medicare enrolled "Family Medicine" physician in Zebulon, North Carolina. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1992 and has 34 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wake Specialty Physicians Llc and his current practice location is 1260 N Arendell Ave, Zebulon, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 235-1965.

Dr Theodore Scott Derse is licensed to practice in North Carolina (license number 2022-01023) 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 1336254515.

Contact Information

Dr Theodore Scott Derse, MD
1260 N Arendell Ave,
Zebulon, NC 27597-8730
(919) 235-1965
Not Available

Map and Direction




Physician's Profile

Full NameDr Theodore Scott Derse
GenderMale
SpecialityFamily Practice
Experience34 Years
Location1260 N Arendell Ave, Zebulon, North Carolina
Accepts Medicare AssignmentsYes. 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 Theodore Scott Derse attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1992
  NPI Data:
  • NPI Number: 1336254515
  • Provider Enumeration Date: 08/20/2006
  • Last Update Date: 03/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638197502
  • Enrollment ID: I20220711000512

Medical Identifiers

Medical identifiers for Dr Theodore Scott Derse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336254515NPI-NPPES
34175800MedicaidWI
036139601MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34915 (Wisconsin)Secondary
207Q00000XFamily Medicine 036139601 (Illinois)Secondary
207Q00000XFamily Medicine 2022-01023 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wakemed Home HealthRaleigh, NCHome health agency
Wakemed, Raleigh CampusRaleigh, NCHospital
Wakemed, Cary HospitalCary, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Specialty Physicians Llc7416006085179

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 Theodore Scott Derse allows following entities to bill medicare on his behalf.
Entity NameWake Specialty Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942440375
PECOS PAC ID: 7416006085
Enrollment ID: O20090601000520

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 Theodore Scott Derse 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 AddressPractice Location Address
Dr Theodore Scott Derse, MD
Po Box 602195,
Charlotte, NC 28260-2195

Ph: (877) 498-4490		Dr Theodore Scott Derse, MD
1260 N Arendell Ave,
Zebulon, NC 27597-8730

Ph: (919) 235-1965

Reviews and Comments


Family Medicine Doctors in Zebulon, NC

Henry Lawrence Mascarenhas, DNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1006 N Arendell Ave, Zebulon, NC 27597
Phone: 919-646-0069    Fax: 919-646-0075
Dr. Christopher Michael Wozniak, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 817 E Gannon Ave, Zebulon, NC 27597
Phone: 193-751-9759    
Dr. Marcella T Mccord, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1002 Dogwood Dr, Zebulon, NC 27597
Phone: 919-404-4011    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.