Dr Allison Jo Derrick, MD is a medicare enrolled "Plastic Surgery" physician in La Crosse, Wisconsin. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice Gundersen Lutheran Medical Center Inc, Gundersen Lutheran Medical Center Inc and her current practice location is
1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 782-7300.
Dr Allison Jo Derrick is licensed to practice in Wisconsin (license number 65076) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851520100.
Physician's Profile
Full Name | Dr Allison Jo Derrick |
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Gender | Female |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 15 Years |
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Location | 1836 South Ave, La Crosse, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Allison Jo Derrick graduated from medical school in 2009
NPI Data:
- NPI Number: 1851520100
- Provider Enumeration Date: 07/08/2009
- Last Update Date: 07/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 0244478733
- Enrollment ID: I20160812000307
Medical Identifiers
Medical identifiers for Dr Allison Jo Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851520100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 11015151A (Indiana) | Secondary |
208200000X | Plastic Surgery | 65076 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
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 Allison Jo Derrick allows following entities to bill medicare on her behalf.
Entity Name | Gundersen Lutheran Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
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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 Allison Jo Derrick 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 |
Dr Allison Jo Derrick, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Dr Allison Jo Derrick, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
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