David R Derus, PSYD, LPC-IT is a medicare enrolled "Psychologist" provider in Stevens Point, Wisconsin. He graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Elmergreen Associates and his current practice location is
3398 E Maria Dr, Stevens Point, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 341-7441.
David R Derus is licensed to practice in Wisconsin (license number 3817) 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 1295169381.
Healthcare Provider's Profile
Full Name | David R Derus |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 6 Years |
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Location | 3398 E Maria Dr, Stevens Point, Wisconsin |
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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:
- David R Derus graduated from medical school in 2018
NPI Data:
- NPI Number: 1295169381
- Provider Enumeration Date: 08/26/2013
- Last Update Date: 12/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 9032538749
- Enrollment ID: I20200930000561
Medical Identifiers
Medical identifiers for David R Derus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295169381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 1857 (Wisconsin) | Secondary |
103T00000X | Psychologist | 3817 (Wisconsin) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Elmergreen Associates | 5496909483 | 5 |
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. David R Derus allows following entities to bill medicare on his behalf.
Entity Name | Elmergreen Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922173418 PECOS PAC ID: 5496909483 Enrollment ID: O20130128000409 |
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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. David R 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 |
David R Derus, PSYD, LPC-IT 3398 E Maria Dr, Stevens Point, WI 54481-1362 Ph: (715) 341-7441 | David R Derus, PSYD, LPC-IT 3398 E Maria Dr, Stevens Point, WI 54481-1362 Ph: (715) 341-7441 |
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