Dr Fred J Dery Jr, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Iowa City, Iowa. He went to Wayne State University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Steindler Orthopedic Clinic Plc and his current practice location is
2751 Northgate Dr, Iowa City, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 338-3606.
Dr Fred J Dery Jr is licensed to practice in Iowa (license number 38968) 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 1457569188.
Physician's Profile
| Full Name | Dr Fred J Dery Jr |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 19 Years |
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| Location | 2751 Northgate Dr, Iowa City, Iowa |
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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 Fred J Dery Jr attended and graduated from Wayne State University School Of Medicine in 2005
NPI Data:
- NPI Number: 1457569188
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 10/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234262205
- Enrollment ID: I20100728000916
Medical Identifiers
Medical identifiers for Dr Fred J Dery Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457569188 | NPI | - | NPPES |
| I75560005 | Other | IA | MEDICARE PTAN |
| 1457569188 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 38968 (Iowa) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 38968 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Steindler Orthopedic Clinic Plc | 7719879857 | 37 |
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 Fred J Dery Jr allows following entities to bill medicare on his behalf.
| Entity Name | Steindler Orthopedic Clinic Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942276621
PECOS PAC ID: 7719879857
Enrollment ID: O20040325000738 |
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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 Fred J Dery Jr 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 Fred J Dery Jr, MD
2751 Northgate Dr,
Iowa City, IA 52245-9509
Ph: (319) 338-3606 | Dr Fred J Dery Jr, MD
2751 Northgate Dr,
Iowa City, IA 52245-9509
Ph: (319) 338-3606 |
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