Dr Wissam Derian, MD - Medicare Cardiovascular Disease (cardiology) in Quincy, IL

Dr Wissam Derian, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Quincy, Illinois. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Quincy Physicians And Surgeons Clinic, Pllc and his current practice location is 1025 Maine St, Quincy, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 222-6550.

Dr Wissam Derian is licensed to practice in Illinois (license number 036113096) 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 1063684066.

Contact Information

Dr Wissam Derian, MD
1025 Maine St,
Quincy, IL 62301-4038
(217) 222-6550
(217) 277-2253

Map and Direction




Physician's Profile

Full NameDr Wissam Derian
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience23 Years
Location1025 Maine St, Quincy, Illinois
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 Wissam Derian graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1063684066
  • Provider Enumeration Date: 03/31/2008
  • Last Update Date: 02/08/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9234204082
  • Enrollment ID: I20080813000839

Medical Identifiers

Medical identifiers for Dr Wissam Derian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063684066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 036113096 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Blessing HospitalQuincy, ILHospital
Memorial HospitalCarthage, ILHospital
Sarah D Culbertson Memorial HospitalRushville, ILHospital
Great River Medical CenterWest burlington, IAHospital
Illini Community HospitalPittsfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Quincy Physicians And Surgeons Clinic, Pllc0749192375193

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 Wissam Derian allows following entities to bill medicare on his behalf.
Entity NameQuincy Physicians & Surgeons Clinic, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548234198
PECOS PAC ID: 0749192375
Enrollment ID: O20031103000445
Entity NameMemorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730139031
PECOS PAC ID: 0244134682
Enrollment ID: O20031126000246

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 Wissam Derian 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 Wissam Derian, MD
1025 Maine St,
Quincy, IL 62301-4038

Ph: (217) 222-6550
Dr Wissam Derian, MD
1025 Maine St,
Quincy, IL 62301-4038

Ph: (217) 222-6550

Reviews and Comments


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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.