Ahmet Dervish, MD - Medicare Pain Medicine in Green Bay, WI

Ahmet Dervish, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Green Bay, Wisconsin. His current practice location is 2845 Greenbrier Rd Ste 340, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-8380.

Ahmet Dervish is licensed to practice in Wisconsin (license number 33794) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104854462.

Contact Information

Ahmet Dervish, MD
2845 Greenbrier Rd Ste 340,
Green Bay, WI 54311-6519
(920) 288-8380
(920) 288-8385



Physician's Profile

Full NameAhmet Dervish
GenderMale
SpecialityPain Medicine - Interventional Pain Medicine
Location2845 Greenbrier Rd Ste 340, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104854462
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 08/29/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9537055355
  • Enrollment ID: I20040708000919

Medical Identifiers

Medical identifiers for Ahmet Dervish such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104854462NPI-NPPES
104365449MedicaidMI
050080452OtherWIRAILROAD
32021400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 33794 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ahmet Dervish allows following entities to bill medicare on his behalf.
Entity NameBaycare Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588609648
PECOS PAC ID: 4385554328
Enrollment ID: O20031105000087

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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. Ahmet Dervish 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
Ahmet Dervish, MD
2845 Greenbrier Rd Ste 340, Po Box 8900,
Green Bay, WI 54308-8900

Ph: (920) 288-8380
Ahmet Dervish, MD
2845 Greenbrier Rd Ste 340,
Green Bay, WI 54311-6519

Ph: (920) 288-8380

News Archive

Uganda: First vaccination for GMZ2 malaria vaccine trial

Today, the EDCTP-funded GMZ2 consortium starts volunteer enrolment for the phase IIb clinical trial of the candidate malaria vaccine GMZ2 in Uganda. This is the third trial site to initiate volunteer recruitment for this multi-country study. Vaccination is already underway at trial sites in Gabon (November 2010) and Burkina Faso (April 2011). The Uganda site is in the peri-urban area of Iganga/Mayuge, at the Iganga Hospital. Akin to most areas in Uganda, malaria is one of the major health problems in this district. A team from Makerere University (Kampala) is conducting the trial.

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Quinnova Pharmaceuticals introduces NEOSALUS CREAM for chronic inflammatory skin conditions

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Pain Medicine Doctors in Green Bay, WI

Timothy R Cooper, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 877-229-0273    Fax: 920-288-4863
Dr. Reginald E Julien, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 835 S Van Buren St, Green Bay, WI 54301
Phone: 920-433-0111    
Dr. Ajeet Sharma, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 835 S Van Buren St, Green Bay, WI 54301
Phone: 844-276-5853    Fax: 262-439-7674
Dr. Amy C. Yeatman, D.O.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 744 S Webster Ave, Green Bay, WI 54301
Phone: 920-431-5607    

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