Dr Derek F Ugwendum, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Staten Island, New York. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Multiviz Medical Services Pc and his current practice location is
355 Bard Ave, Dept Of Medicine, Villa Building 1st Floor, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 818-2419.
Dr Derek F Ugwendum is licensed to practice in * (Not Available) (license number ) 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 1831654086.
Physician's Profile
| Full Name | Dr Derek F Ugwendum |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 16 Years |
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| Location | 355 Bard Ave, Staten Island, New York |
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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. |
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Medical Education and Training:
- Dr Derek F Ugwendum graduated from medical school in 2008
NPI Data:
- NPI Number: 1831654086
- Provider Enumeration Date: 02/01/2019
- Last Update Date: 03/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850631185
- Enrollment ID: I20190322000631
Medical Identifiers
Medical identifiers for Dr Derek F Ugwendum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831654086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | P14761 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Multiviz Medical Services Pc | 1557274735 | 15 |
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. Dr Derek F Ugwendum allows following entities to bill medicare on his behalf.
| Entity Name | Multiviz Medical Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720373293
PECOS PAC ID: 1557274735
Enrollment ID: O20031112000674 |
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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. Dr Derek F Ugwendum 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 |
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Dr Derek F Ugwendum, MD
355 Bard Ave, Department Of Medicine , Villa Building 1st Floor,
Staten Island, NY 10310-1664
Ph: (718) 818-2419 | Dr Derek F Ugwendum, MD
355 Bard Ave, Dept Of Medicine, Villa Building 1st Floor,
Staten Island, NY 10310
Ph: (718) 818-2419 |
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