Jerome D Derdel, MD - Medicare Radiation Oncology in State College, PA

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Jerome D Derdel, MD is a medicare enrolled "Radiology - Therapeutic Radiology" physician in State College, Pennsylvania. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Wellspan Medical Group, Geisinger Clinic, Mount Nittany Medical Center Health Services Inc and his current practice location is 1800 E Park Ave, State College, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 234-6726.

Jerome D Derdel is licensed to practice in Pennsylvania (license number MD038685L) 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 1104812601.

Contact Information

Jerome D Derdel, MD
1800 E Park Ave,
State College, PA 16803-6709
(814) 234-6726
(814) 234-1553

Map and Direction




Physician's Profile

Full NameJerome D Derdel
GenderMale
SpecialityRadiation Oncology
Experience46 Years
Location1800 E Park Ave, State College, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jerome D Derdel graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1104812601
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 06/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294922662
  • Enrollment ID: I20101210000456

Medical Identifiers

Medical identifiers for Jerome D Derdel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104812601NPI-NPPES
1104812601OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology MD038685L (Pennsylvania)Secondary
2085R0203XRadiology - Therapeutic Radiology MD038685L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mount Nittany Medical CenterState college, PAHospital
Geisinger Medical CenterDanville, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellspan Medical Group19512131151966
Geisinger Clinic53956570012841
Mount Nittany Medical Center Health Services Inc8426136797204

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. Jerome D Derdel allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815
Entity NameThe Milton S Hershey Medical Center Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710951744
PECOS PAC ID: 3870405483
Enrollment ID: O20040225000741
Entity NamePinnacle Health Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932143427
PECOS PAC ID: 7618960493
Enrollment ID: O20040407000180
Entity NameMount Nittany Medical Center Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164691499
PECOS PAC ID: 8426136797
Enrollment ID: O20081021000240

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. Jerome D Derdel 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 AddressPractice Location Address
Jerome D Derdel, MD
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (570) 271-6144		Jerome D Derdel, MD
1800 E Park Ave,
State College, PA 16803-6709

Ph: (814) 234-6726

Reviews and Comments


Radiology Doctors in State College, PA

Dr. Mary Ellen Fisher, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Park Ave, State College, PA 16803
Phone: 814-231-7000    Fax: 814-234-6795
Dr. Ari Reuben Geselowitz, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 1800 E Park Ave, State College, PA 16803
Phone: 814-234-6137    Fax: 814-234-6795
Anna C Hood, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1850 E Park Ave, Suite 105, State College, PA 16803
Phone: 814-231-3147    Fax: 814-231-7351
Veeral B. Patel, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Park Ave, State College, PA 16803
Phone: 814-234-6726    Fax: 814-234-1553
Dr. Paul Benjamin Stoddard, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Park Ave, State College, PA 16803
Phone: 814-231-7000    
Dr. Gregory Ross Weimer, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1800 E Park Ave, State College, PA 16803
Phone: 814-234-6137    Fax: 814-234-6795

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.