Anthony J Deriso Ii, MD - Medicare Cardiac Surgery in Sandusky, OH

Anthony J Deriso Ii, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Sandusky, Ohio. He went to Saint Louis University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Trinity West and his current practice location is 1200 Prospect St Ste 101, Sandusky, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 609-8000.

Anthony J Deriso Ii is licensed to practice in Ohio (license number 35064444) 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 1861459265.

Contact Information

Anthony J Deriso Ii, MD
1200 Prospect St Ste 101,
Sandusky, OH 44870-3366
(419) 609-8000
(419) 609-8002



Physician's Profile

Full NameAnthony J Deriso Ii
GenderMale
SpecialityCardiac Surgery
Experience40 Years
Location1200 Prospect St Ste 101, Sandusky, Ohio
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:
  • Anthony J Deriso Ii attended and graduated from Saint Louis University School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1861459265
  • Provider Enumeration Date: 04/28/2006
  • Last Update Date: 08/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123025467
  • Enrollment ID: I20100129000238

Medical Identifiers

Medical identifiers for Anthony J Deriso Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861459265NPI-NPPES
0883469MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 2776 (Wisconsin)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 35064444 (Ohio)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. Anthony J Deriso Ii allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Toledo Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942296033
PECOS PAC ID: 8729983416
Enrollment ID: O20031205000019

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Entity NameTrinity West
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043234677
PECOS PAC ID: 5496648875
Enrollment ID: O20040209000132

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Entity NameLakeside Heart And Lung Center,inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417030982
PECOS PAC ID: 5597762831
Enrollment ID: O20061031000149

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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. Anthony J Deriso Ii 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
Anthony J Deriso Ii, MD
Po Box 2381,
Sandusky, OH 44871-2381

Ph: (419) 609-8000
Anthony J Deriso Ii, MD
1200 Prospect St Ste 101,
Sandusky, OH 44870-3366

Ph: (419) 609-8000

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Sandusky, OH

Dr. Shailen R Patel, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 703 Tyler St, Suite 252, Sandusky, OH 44870
Phone: 419-609-8000    Fax: 419-609-8002

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