C. Thomas Deroche, Dpm, Llc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Plover, Wisconsin. Their current practice location is
2020 County Rd Hh, Plover, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(715) 344-9500.
C. Thomas Deroche, Dpm, Llc is licensed to practice in Wisconsin (license number 703-025) and it also participates in the medicare program. C. Thomas Deroche, Dpm, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1699969022.
Healthcare Provider's Profile
| Full Name | C. Thomas Deroche, Dpm, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Podiatrist - Foot & Ankle Surgery |
|---|
| Location | 2020 County Rd Hh, Plover, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1699969022
- Provider Enumeration Date: 08/29/2007
- Last Update Date: 05/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800983560
- Enrollment ID: O20071029000397
Medical Identifiers
Medical identifiers for C. Thomas Deroche, Dpm, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699969022 | NPI | - | NPPES |
| 43220000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 703-025 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
C. Thomas Deroche, Dpm, Llc acts as a billing entity for following providers:
| Provider Name | Christopher T Deroche |
|---|
| Provider Type | Practitioner - Podiatry |
|---|
| Provider Identifiers | NPI Number: 1790763779
PECOS PAC ID: 3476551573
Enrollment ID: I20071029000388 |
|---|
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. C. Thomas Deroche, Dpm, Llc 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 |
|---|
C. Thomas Deroche, Dpm, Llc
2020 County Rd Hh,
Plover, WI 54467
Ph: (715) 344-9500 | C. Thomas Deroche, Dpm, Llc
2020 County Rd Hh,
Plover, WI 54467
Ph: (715) 344-9500 |
Reviews and Comments