Courtney Derus, in Wausau, WI - Medicare Psychologist Provider

Courtney Derus, is a medicare enrolled "Psychologist" provider in Wausau, Wisconsin. Her current practice location is 114 Grand Ave, Wausau, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 845-7175.

Courtney Derus is licensed to practice in Wisconsin (license number 3605-57) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255765335.

Contact Information

	Courtney Derus,
	114 Grand Ave, Wausau, WI 54403-6214
	(715) 845-7175
	(715) 845-7142

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Derus
Gender	Female
Speciality	Psychologist
Location	114 Grand Ave, Wausau, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255765335
Provider Enumeration Date: 08/26/2013
Last Update Date: 10/02/2018

Medicare PECOS Information:

PECOS PAC ID: 4284978347
Enrollment ID: I20181130002166

Medical Identifiers

Medical identifiers for Courtney Derus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255765335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3605-57 (Wisconsin)	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. Courtney Derus allows following entities to bill medicare on her behalf.

Entity Name	Elmergreen Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922173418 PECOS PAC ID: 1355880329 Enrollment ID: O20240822002818

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. Courtney Derus 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
Courtney Derus, 114 Grand Ave, Wausau, WI 54403-6214 Ph: (715) 845-7175	Courtney Derus, 114 Grand Ave, Wausau, WI 54403-6214 Ph: (715) 845-7175

Reviews and Comments

Psychologist in Wausau, WI

Dr. Steven A. Benson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 3rd St Ste 319-b, Wausau, WI 54403 Phone: 715-848-0002 Fax: 715-848-0390
Paul Hesse, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Stewart Ave Ste 270, Wausau, WI 54401 Phone: 715-842-8600
Dr. Judith L. Voelz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Stewart Ave, Suite 272-4, Wausau, WI 54401 Phone: 715-842-4091
Natasha Suzanne Mallak, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 630 S 36th Ave, Wausau, WI 54401 Phone: 715-842-9500
Anthony P Gillette, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 N 28th Ave, Ste 200, Wausau, WI 54401 Phone: 715-848-1346 Fax: 715-848-0640
Dr. Katie Anne Dorsey, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 630 S 36th Ave, Wausau, WI 54401 Phone: 855-607-8242
Dr. Eric M Anderson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 516 Mcclellan Street, Wausau, WI 54403 Phone: 715-834-2046 Fax: 715-834-7563

Courtney Derus, - Medicare Psychologist in Wausau, WI