Dr Thomas M Derrig, MD is a medicare enrolled "Surgery" physician in Hartland, Wisconsin. He went to University Of North Dakota School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is
600 Walnut Ridge Dr, Hartland, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 369-7040.
Dr Thomas M Derrig is licensed to practice in Wisconsin (license number 43080) 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 1588779771.
Physician's Profile
| Full Name | Dr Thomas M Derrig |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 29 Years |
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| Location | 600 Walnut Ridge Dr, Hartland, Wisconsin |
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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 Thomas M Derrig attended and graduated from University Of North Dakota School Of Medicine in 1996
NPI Data:
- NPI Number: 1588779771
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850365396
- Enrollment ID: I20040821000108
Medical Identifiers
Medical identifiers for Dr Thomas M Derrig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588779771 | NPI | - | NPPES |
| 34071100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 7805 (North Dakota) | Secondary |
| 208600000X | Surgery | 43080 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 Thomas M Derrig allows following entities to bill medicare on his behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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 Thomas M Derrig 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 Thomas M Derrig, MD
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843
Ph: (414) 647-6326 | Dr Thomas M Derrig, MD
600 Walnut Ridge Dr,
Hartland, WI 53029
Ph: (262) 369-7040 |
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