James K Dercks, LPC in Menasha, WI - Medicare Counselor Provider

James K Dercks, LPC is a medicare enrolled "Counselor - Professional" provider in Menasha, Wisconsin. His current practice location is 1810 Appleton Rd, Menasha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 739-4226.

James K Dercks is licensed to practice in Wisconsin (license number 6749) 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 1134586779.

Contact Information

	James K Dercks, LPC
	1810 Appleton Rd, Menasha, WI 54952-1110
	(920) 739-4226
	(920) 739-7639

Map and Direction

Healthcare Provider's Profile

Full Name	James K Dercks
Gender	Male
Speciality	Counselor - Professional
Location	1810 Appleton Rd, Menasha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134586779
Provider Enumeration Date: 01/27/2016
Last Update Date: 12/12/2017

Medicare PECOS Information:

PECOS PAC ID: 4880045640
Enrollment ID: I20240305000192

Medical Identifiers

Medical identifiers for James K Dercks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134586779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6749 (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. James K Dercks allows following entities to bill medicare on his behalf.

Entity Name	Family Services Of Northeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275525925 PECOS PAC ID: 7214832229 Enrollment ID: O20031203000498

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. James K Dercks 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
James K Dercks, LPC 1810 Appleton Rd, Menasha, WI 54952-1110 Ph: (920) 739-4226	James K Dercks, LPC 1810 Appleton Rd, Menasha, WI 54952-1110 Ph: (920) 739-4226

Reviews and Comments

Counselor in Menasha, WI

Mr. Michael G. Frost, RADCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1201 Tuckaway Ln, Menasha, WI 54952 Phone: 920-733-4443 Fax: 920-733-4796
Darlene Leary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300
Lisa Bredael, Counselor Medicare: Medicare Enrolled Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300
Lynne Drews, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300
Shauna S Vanden Hoogen, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-3700
Amber Leigh Greuel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300
Sergio Guerrero, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 1478 Kenwood Dr Ste 1, Menasha, WI 54952 Phone: 920-886-9319

James K Dercks, LPC - Medicare Counselor in Menasha, WI