Ms Angela Marie Deridder, MD - Medicare Hematology/oncology in Williamsburg, VA

Ms Angela Marie Deridder, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Williamsburg, Virginia. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Hematology/oncology. She is a member of the group practice Peninsula Cancer Institute, Llc and her current practice location is 120 Kings Way Ste 3100, Williamsburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 345-2236.

Ms Angela Marie Deridder is licensed to practice in Maryland (license number D83099) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629377809.

Contact Information

Ms Angela Marie Deridder, MD
120 Kings Way Ste 3100,
Williamsburg, VA 23185-2506
(757) 345-2236
Not Available



Physician's Profile

Full NameMs Angela Marie Deridder
GenderFemale
SpecialityHematology/oncology
Experience13 Years
Location120 Kings Way Ste 3100, Williamsburg, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Angela Marie Deridder graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1629377809
  • Provider Enumeration Date: 03/27/2011
  • Last Update Date: 11/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032409255
  • Enrollment ID: I20221115000132

Medical Identifiers

Medical identifiers for Ms Angela Marie Deridder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629377809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology D83099 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside Regional Medical CenterNewport news, VAHospital
Peninsula Regional Medical CenterSalisbury, MDHospital
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VAHospital
Sentara Williamsburg Regional Medical CenterWilliamsburg, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peninsula Cancer Institute, Llc872903163832

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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. Ms Angela Marie Deridder allows following entities to bill medicare on her behalf.
Entity NamePeninsula Cancer Institute, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710180120
PECOS PAC ID: 8729031638
Enrollment ID: O20050302000714

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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. Ms Angela Marie Deridder 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
Ms Angela Marie Deridder, MD
120 Kings Way,
Williamsburg, VA 23185-2505

Ph: () -
Ms Angela Marie Deridder, MD
120 Kings Way Ste 3100,
Williamsburg, VA 23185-2506

Ph: (757) 345-2236

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Internal Medicine Doctors in Williamsburg, VA

Dr. Harold D Jones Iii, MD
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 4601 Ironbound Rd, Eastern State Hospital, Williamsburg, VA 23187
Phone: 757-253-5161    
Dr. Ralph R Dimattia, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Sentara Cir, Williamsburg, VA 23188
Phone: 757-984-7218    Fax: 757-984-7210
William J Beneke, M.D
Hematology & Oncology
Medicare: May Accept Medicare Assignments
Practice Location: 5215 Monticello Ave, Williamsburg, VA 23188
Phone: 757-229-1440    
Dr. Kathleen M Tylman, D.O.
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 477 Mclaws Cir, Suite 1, Williamsburg, VA 23185
Phone: 757-208-0005    Fax: 757-208-0006
Dr. Vicki Stone Wilhelm, MD
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 137 Kingspoint Dr, Williamsburg, VA 23185
Phone: 757-220-2718    
David Gordon Hundt, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 227 Mclaws Cir, Williamsburg, VA 23185
Phone: 757-564-8182    Fax: 757-564-0077
Abel Yimer, M.D.
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 477 Mclaws Cir Ste 1, Williamsburg, VA 23185
Phone: 757-984-9675    Fax: 757-470-5401

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