Dr David M Peereboom, MD is a medicare enrolled "Specialist" physician in Cleveland, Ohio. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1986 and has 39 years of diverse experience with area of expertise as Medical Oncology. He is a member of the group practice Cleveland Clinic Foundation and his current practice location is
9500 Euclid Ave, R35, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 445-6068.
Dr David M Peereboom is licensed to practice in Ohio (license number 35-05-7997-P) 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 1548262512.
Physician's Profile
| Full Name | Dr David M Peereboom |
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| Gender | Male |
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| Speciality | Medical Oncology |
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| Experience | 39 Years |
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| Location | 9500 Euclid Ave, Cleveland, Ohio |
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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 David M Peereboom attended and graduated from Virginia Commonwealth University, School Of Medicine in 1986
NPI Data:
- NPI Number: 1548262512
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 12/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860491313
- Enrollment ID: I20061211000069
Medical Identifiers
Medical identifiers for Dr David M Peereboom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548262512 | NPI | - | NPPES |
| 0957193 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RH0003X | Internal Medicine - Hematology & Oncology | 35.057997 (Ohio) | Secondary |
| 174400000X | Specialist | 35-05-7997-P (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cleveland Clinic Foundation | 1850203555 | 5680 |
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 David M Peereboom allows following entities to bill medicare on his behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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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 David M Peereboom 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 David M Peereboom, MD
9500 Euclid Ave # Ca5,
Cleveland, OH 44195-5554
Ph: (216) 308-5554 | Dr David M Peereboom, MD
9500 Euclid Ave, R35,
Cleveland, OH 44195-0001
Ph: (216) 445-6068 |
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