Dr Wondwossen Yilma Dererie, MD in Suffolk, VA

Dr Wondwossen Yilma Dererie, MD is a medicare enrolled "Internal Medicine" physician in Suffolk, Virginia. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Licking Memorial Professional Corporation, Apogee Medical Group Ohio Inc and his current practice location is 2800 Godwin Blvd, Suffolk, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 934-4000.

Dr Wondwossen Yilma Dererie is licensed to practice in Virginia (license number 0101254930) 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 1760793897.

Contact Information

	Dr Wondwossen Yilma Dererie, MD
	2800 Godwin Blvd, Suffolk, VA 23434-8038
	(757) 934-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Wondwossen Yilma Dererie
Gender	Male
Speciality	Hospitalist
Experience	22 Years
Location	2800 Godwin Blvd, Suffolk, Virginia
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 Wondwossen Yilma Dererie graduated from medical school in 2003

NPI Data:

NPI Number: 1760793897
Provider Enumeration Date: 06/23/2010
Last Update Date: 10/04/2021

Medicare PECOS Information:

PECOS PAC ID: 4981831328
Enrollment ID: I20170206002690

Medical Identifiers

Medical identifiers for Dr Wondwossen Yilma Dererie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760793897	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35.130138 (Ohio)	Secondary
207R00000X	Internal Medicine	0101254930 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Licking Memorial Hospital	Newark, OH	Hospital
Adena Regional Medical Center	Chillicothe, OH	Hospital
Riverside Methodist Hospital	Columbus, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Licking Memorial Professional Corporation	6204740731	218
Apogee Medical Group Ohio Inc	8224082292	76

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 Wondwossen Yilma Dererie allows following entities to bill medicare on his behalf.

Entity Name	Licking Memorial Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131

Entity Name	Apogee Medical Group Ohio Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477500999 PECOS PAC ID: 8224082292 Enrollment ID: O20050311000733

Entity Name	Ohio Valley Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20050422000921

Entity Name	Hospital Medicine Services Of Ohio, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073781597 PECOS PAC ID: 6103997747 Enrollment ID: O20080625000293

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 Wondwossen Yilma Dererie 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 Wondwossen Yilma Dererie, MD 5102 Windbreak Dr, Fredericksburg, VA 22407-9323 Ph: (857) 998-8902	Dr Wondwossen Yilma Dererie, MD 2800 Godwin Blvd, Suffolk, VA 23434-8038 Ph: (757) 934-4000

Reviews and Comments

Internal Medicine Doctors in Suffolk, VA

Dr. James J Stark, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435 Phone: 757-397-4200 Fax: 757-397-3872
Dr. Harish V Iyer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435 Phone: 757-483-6100 Fax: 757-483-2203
Mrs. Zia Ann Khould, CNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-397-4200
Dr. Thomas Vincent Whelan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3009 Corporate Ln, Suite 210, Suffolk, VA 23434 Phone: 757-623-0005 Fax: 757-935-1561
Dr. Demetria Yvette Austin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2800 Godwin Blvd, Suffolk, VA 23434 Phone: 757-967-8622 Fax: 757-686-0541
Hussein Mohamed Aboulatta, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Meade Parkway, Suffolk, VA 23434 Phone: 757-539-0251 Fax: 757-934-2564
Dr. Michael T Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St Ste 200, Suffolk, VA 23434 Phone: 757-934-1003 Fax: 757-934-1660

Dr Wondwossen Yilma Dererie, MD - Medicare Hospitalist in Suffolk, VA