David J Ferguson, MD is a medicare enrolled "General Practice" physician in De Pere, Wisconsin. His current practice location is
435 N Broadway Ste B, De Pere, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(855) 545-6794.
David J Ferguson is licensed to practice in Wisconsin (license number 35342-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104874122.
Physician's Profile
Full Name | David J Ferguson |
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Gender | Male |
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Speciality | General Practice |
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Location | 435 N Broadway Ste B, De Pere, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104874122
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779646047
- Enrollment ID: I20090113000322
Medical Identifiers
Medical identifiers for David J Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104874122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35342 (Wisconsin) | Secondary |
208D00000X | General Practice | 35342-20 (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. David J Ferguson allows following entities to bill medicare on his behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551 |
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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 J Ferguson 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 J Ferguson, MD 435 N Broadway Ste B, De Pere, WI 54115-2516 Ph: (855) 545-6794 | David J Ferguson, MD 435 N Broadway Ste B, De Pere, WI 54115-2516 Ph: (855) 545-6794 |
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