David Surprenant, in Evansville, IN

David Surprenant, is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Evansville, Indiana. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Deaconess Clinic Inc and his current practice location is 120 Se 4th St, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 463-4306.

David Surprenant is licensed to practice in Indiana (license number 01085760A) 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 1265895932.

Contact Information

	David Surprenant,
	120 Se 4th St, Evansville, IN 47708-1607
	(812) 463-4306
	Not Available

Map and Direction

Physician's Profile

Full Name	David Surprenant
Gender	Male
Speciality	Dermatology
Experience	8 Years
Location	120 Se 4th St, Evansville, Indiana
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 Surprenant attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2016

NPI Data:

NPI Number: 1265895932
Provider Enumeration Date: 03/31/2016
Last Update Date: 10/08/2021

Medicare PECOS Information:

PECOS PAC ID: 8820389166
Enrollment ID: I20210806000462

Medical Identifiers

Medical identifiers for David Surprenant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265895932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	35138872 (Ohio)	Secondary
207N00000X	Dermatology	125070659 (Illinois)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	01085760A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Deaconess Hospital Inc	Evansville, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Clinic Inc	3375610116	343

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 Surprenant allows following entities to bill medicare on his behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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 Surprenant 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 Surprenant, 120 Se 4th St, Evansville, IN 47708-1607 Ph: (812) 463-4306	David Surprenant, 120 Se 4th St, Evansville, IN 47708-1607 Ph: (812) 463-4306

Reviews and Comments

Dermatology Doctors in Evansville, IN

Jon C Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9355 Fax: 812-858-4539
Vanessa M Mischler, NP Dermatology Medicare: Medicare Enrolled Practice Location: 1212 Professional Blvd Ste B, Evansville, IN 47714 Phone: 812-401-9030 Fax: 812-401-9033
Robert William Martin Iii, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9355 Fax: 812-858-4539
Jeffrey Keith Moore, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9355 Fax: 812-858-4539
Dr. Shari Lyn Barrett, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3700 Bellemeade Ave, Suite 120, Evansville, IN 47714 Phone: 812-473-0200 Fax: 812-473-3640
Dr. Charles P Hudson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3501 Washington Ave, Evansville, IN 47714 Phone: 812-474-1234 Fax: 812-402-3636

David Surprenant, - Medicare Dermatology in Evansville, IN