William Tessin Derry, MD - Medicare Diagnostic Radiology in Greensboro, NC

  1. Home
  2. Radiology
  3. NC
  4. Greensboro
William Tessin Derry, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Greensboro, North Carolina. He went to University Of Virginia School Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Valley Radiology P A, Columbus Regional Healthcare System, Scotland Memorial Hospital, Inc, Wake Forest University Health Sciences, Cumberland County Hospital System Inc and his current practice location is 1331 N Elm St Ste 200, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 274-9617.

William Tessin Derry is licensed to practice in North Carolina (license number 2018-00542) 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 1669761698.

Contact Information

William Tessin Derry, MD
1331 N Elm St Ste 200,
Greensboro, NC 27401-6304
(336) 274-9617
(336) 482-2177

Map and Direction




Physician's Profile

Full NameWilliam Tessin Derry
GenderMale
SpecialityDiagnostic Radiology
Experience15 Years
Location1331 N Elm St Ste 200, Greensboro, 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:
  • William Tessin Derry attended and graduated from University Of Virginia School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1669761698
  • Provider Enumeration Date: 03/30/2011
  • Last Update Date: 03/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9739305640
  • Enrollment ID: I20180703000577

Medical Identifiers

Medical identifiers for William Tessin Derry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669761698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 2018-00542 (North Carolina)Secondary
2085R0202XRadiology - Diagnostic Radiology 2018-00542 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Fear Valley Medical CenterFayetteville, NCHospital
Columbus Regional Healthcare SystemWhiteville, NCHospital
Betsy Johnson Regional HospitalDunn, NCHospital
Cape Fear Valley Hoke HospitalRaeford, NCHospital
Cape Fear Valley-bladen County HospitalElizabethtown, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Valley Radiology P A074918108932
Columbus Regional Healthcare System2961312228120
Scotland Memorial Hospital, Inc0648208504259
Wake Forest University Health Sciences44865649522633
Cumberland County Hospital System Inc1850204041581

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. William Tessin Derry allows following entities to bill medicare on his behalf.
Entity NameScotland Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477791507
PECOS PAC ID: 0648208504
Enrollment ID: O20031105000382
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436
Entity NameWake Forest Health Network LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477785756
PECOS PAC ID: 4183538895
Enrollment ID: O20031117000868
Entity NameValley Radiology P a
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093723538
PECOS PAC ID: 0749181089
Enrollment ID: O20040119000580
Entity NameDiagnostic Radiology & Imaging LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265469795
PECOS PAC ID: 4183517097
Enrollment ID: O20040204001013
Entity NameSoutheastern Orthopaedic Specialists PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790724706
PECOS PAC ID: 4587568472
Enrollment ID: O20040225000980
Entity NameColumbus Regional Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376537555
PECOS PAC ID: 2961312228
Enrollment ID: O20040823001463
Entity NameImrad of Virginia PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457816522
PECOS PAC ID: 2860726981
Enrollment ID: O20200928003184
Entity NameCumberland County Hospital System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962299743
PECOS PAC ID: 1850204041
Enrollment ID: O20250731000671

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. William Tessin Derry 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
William Tessin Derry, MD
Po Box 63112,
Charlotte, NC 28263-3112

Ph: (336) 274-9617		William Tessin Derry, MD
1331 N Elm St Ste 200,
Greensboro, NC 27401-6304

Ph: (336) 274-9617

Reviews and Comments


Radiology Doctors in Greensboro, NC

Thaddeus Drexel Houston, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401
Phone: 336-274-6682    Fax: 336-274-8097
Melinda Ann Blietz, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401
Phone: 336-274-6682    Fax: 336-274-8097
Raymond Charles Rubner Jr., M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1331 N Elm St, Suite 200, Greensboro, NC 27401
Phone: 336-274-9617    Fax: 336-482-2177
Dr. David Sung Kwon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401
Phone: 336-274-9617    Fax: 336-482-2177
James Judd Green Jr., M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401
Phone: 336-274-6682    Fax: 336-274-8097
Dr. Paul Douglas Barry, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1331 North Elm Street, Suite 200, Greensboro, NC 27401
Phone: 336-274-9617    Fax: 336-482-2177
Stacy Wentworth, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 501 N. Elam Avenue, Greensboro, NC 27403
Phone: 336-832-1100    

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.