Anthony J Deriso Ii, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Sandusky, Ohio. He went to Saint Louis University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Trinity West, University Of Toledo Physicians Llc and his current practice location is
1200 Prospect St Ste 101, Sandusky, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 609-8000.
Anthony J Deriso Ii is licensed to practice in Ohio (license number 35064444) 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 1861459265.
Physician's Profile
Full Name | Anthony J Deriso Ii |
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Gender | Male |
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Speciality | Cardiac Surgery |
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Experience | 40 Years |
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Location | 1200 Prospect St Ste 101, Sandusky, Ohio |
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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:
- Anthony J Deriso Ii attended and graduated from Saint Louis University School Of Medicine in 1984
NPI Data:
- NPI Number: 1861459265
- Provider Enumeration Date: 04/28/2006
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123025467
- Enrollment ID: I20100129000238
Medical Identifiers
Medical identifiers for Anthony J Deriso Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861459265 | NPI | - | NPPES |
0883469 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2776 (Wisconsin) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35064444 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Trinity West | 5496648875 | 140 |
University Of Toledo Physicians Llc | 8729983416 | 373 |
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. Anthony J Deriso Ii allows following entities to bill medicare on his behalf.
Entity Name | University Of Toledo Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019 |
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Entity Name | Trinity West |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043234677 PECOS PAC ID: 5496648875 Enrollment ID: O20040209000132 |
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Entity Name | Lakeside Heart And Lung Center,inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417030982 PECOS PAC ID: 5597762831 Enrollment ID: O20061031000149 |
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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. Anthony J Deriso Ii 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 |
Anthony J Deriso Ii, MD Po Box 2381, Sandusky, OH 44871-2381 Ph: (419) 609-8000 | Anthony J Deriso Ii, MD 1200 Prospect St Ste 101, Sandusky, OH 44870-3366 Ph: (419) 609-8000 |
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