Jayden Der, MD | |
2400 E Capitol Dr, Appleton, WI 54911-8728 | |
(920) 831-5050 | |
(920) 738-6507 |
Full Name | Jayden Der |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 14 Years |
Location | 2400 E Capitol Dr, Appleton, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659659282 | NPI | - | NPPES |
1659659282 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 4301098870 (Michigan) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 65587 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Berlin Memorial Hospital | Berlin, WI | Hospital |
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thedacare, Incorporated | 1759294887 | 509 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Jayden Der, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 831-5050 | Jayden Der, MD 2400 E Capitol Dr, Appleton, WI 54911-8728 Ph: (920) 831-5050 |
Randall J Schultz, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5320 Michaels Dr, Appleton, WI 54913 Phone: 920-882-8200 Fax: 920-882-8210 | |
Dr. Tracy Louise Page, M.D.,M.A. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2801 E Enterprise Ave Ste 205, Appleton, WI 54913 Phone: 920-968-9311 | |
Dr. Mac Roman Weninger, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2400 E Capitol Dr, Appleton, WI 54911 Phone: 920-731-4101 | |
Brenda Jeanne Dierschke, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-738-6400 | |
Dr. Cason M Brown, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5320 W Michaels Drive, Appleton, WI 54913 Phone: 920-882-8200 Fax: 920-882-8210 | |
Scott Powley, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 | |
John T Sellers, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5320 Michaels Dr, Appleton, WI 54913 Phone: 920-882-8200 Fax: 920-882-8210 |