David Deroos, DO - Medicare Family Medicine in Johnson City, TN

David Deroos, DO is a medicare enrolled "Family Medicine" physician in Johnson City, Tennessee. His current practice location is 701 Med Tech Pkwy Ste 401, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 631-0646.

David Deroos is licensed to practice in Tennessee (license number 4949) 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 1043773658.

Contact Information

David Deroos, DO
701 Med Tech Pkwy Ste 401,
Johnson City, TN 37604-2372
(423) 631-0646
(423) 631-0647



Physician's Profile

Full NameDavid Deroos
GenderMale
SpecialityFamily Medicine
Location701 Med Tech Pkwy Ste 401, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043773658
  • Provider Enumeration Date: 04/10/2019
  • Last Update Date: 08/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860726361
  • Enrollment ID: I20221107002589

Medical Identifiers

Medical identifiers for David Deroos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043773658NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4949 (Tennessee)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. David Deroos allows following entities to bill medicare on his behalf.
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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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. David Deroos 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
David Deroos, DO
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565
David Deroos, DO
701 Med Tech Pkwy Ste 401,
Johnson City, TN 37604-2372

Ph: (423) 631-0646

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Family Medicine Doctors in Johnson City, TN

Dr. Whitaker Michael Smith, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604
Phone: 423-915-5000    Fax: 423-915-5045
Dr. Paula Renee Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604
Phone: 423-431-1810    Fax: 423-431-1811
Dr. Clinton Steve Webb, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 401 E Main St, Johnson City, TN 37601
Phone: 423-929-2584    Fax: 423-722-2060
Dr. Nazia Iqbal Shehzad, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Main St, Johnson City, TN 37601
Phone: 423-929-2584    Fax: 423-722-2060
Chelsy L Elkins, FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1009 Novus Dr Ste 1a, Johnson City, TN 37604
Phone: 423-282-2516    
Janice B. Schweitzer, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 378 Marketplace Dr, Suite 5, Johnson City, TN 37604
Phone: 423-282-0751    Fax: 423-282-1577

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