Djerrick Cu Tan, MD - Medicare Diagnostic Radiology in Mequon, WI

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Djerrick Cu Tan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mequon, Wisconsin. He went to Indiana University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Wisconsin Radiology Specialists Sc, Precision Radiology - Illinois Ltd, Wisconsin Radiology Specialists Sc, Precision Radiology - Illinois Ltd and his current practice location is 10945 N Port Washington Rd Ste 201, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 292-3151.

Djerrick Cu Tan is licensed to practice in Wisconsin (license number 47802) 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 1124002654.

Contact Information

Djerrick Cu Tan, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078
(262) 292-3151
Not Available

Map and Direction




Physician's Profile

Full NameDjerrick Cu Tan
GenderMale
SpecialityDiagnostic Radiology
Experience25 Years
Location10945 N Port Washington Rd Ste 201, Mequon, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Djerrick Cu Tan attended and graduated from Indiana University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1124002654
  • Provider Enumeration Date: 11/29/2005
  • Last Update Date: 11/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557315991
  • Enrollment ID: I20050308001119

Medical Identifiers

Medical identifiers for Djerrick Cu Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124002654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 47802 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amita Health Resurrection Medical CenterChicago, ILHospital
Presence Saint Joseph Medical CenterJoliet, ILHospital
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital
Ascension All Saints HospitalRacine, WIHospital
Ascension Se Wisconsin Hospital - St Joseph CampusMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wisconsin Radiology Specialists Sc296131409156
Precision Radiology - Illinois Ltd630521829859
Wisconsin Radiology Specialists Sc296131409156
Precision Radiology - Illinois Ltd630521829859

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. Djerrick Cu Tan allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameWisconsin Radiology Specialists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568446003
PECOS PAC ID: 2961314091
Enrollment ID: O20031105000585
Entity NamePremier Radiology Wisconsin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952951154
PECOS PAC ID: 9537595533
Enrollment ID: O20200211002818
Entity NamePrecision Radiology - Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265156640
PECOS PAC ID: 6305218298
Enrollment ID: O20230201002800

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. Djerrick Cu Tan 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 AddressPractice Location Address
Djerrick Cu Tan, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078

Ph: (262) 292-3151		Djerrick Cu Tan, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078

Ph: (262) 292-3151

Reviews and Comments


Radiology Doctors in Mequon, WI

Timothy L Workman, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
John Tomashek, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
Eric M Dorn, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Dr. Marc A Burrell, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
Cynthia Rice, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Erica Young Berg, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.