Derek Carl Carlson, MD in Green Bay, WI

Derek Carl Carlson, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Green Bay, Wisconsin. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Bellin Psychiatric Center Inc, Bellin Psychiatric Center Inc and his current practice location is 301 E Saint Joseph St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-3630.

Derek Carl Carlson is licensed to practice in Wisconsin (license number 61608-20) 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 1790775450.

Contact Information

	Derek Carl Carlson, MD
	301 E Saint Joseph St, Green Bay, WI 54301-2241
	(920) 433-3630
	Not Available

Map and Direction

Physician's Profile

Full Name	Derek Carl Carlson
Gender	Male
Speciality	Psychiatry
Experience	30 Years
Location	301 E Saint Joseph St, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek Carl Carlson graduated from medical school in 1994

NPI Data:

NPI Number: 1790775450
Provider Enumeration Date: 10/25/2005
Last Update Date: 11/23/2020

Medicare PECOS Information:

PECOS PAC ID: 6507914694
Enrollment ID: I20140218001665

Medical Identifiers

Medical identifiers for Derek Carl Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790775450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	4301106248 (Michigan)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	61608-20 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bellin Psychiatric Center Inc	4486551058	60
Bellin Psychiatric Center Inc	4486551058	60

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. Derek Carl Carlson allows following entities to bill medicare on his behalf.

Entity Name	Bellin Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089

Entity Name	Bellin Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884

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. Derek Carl Carlson 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
Derek Carl Carlson, MD 301 E Saint Joseph St, Green Bay, WI 54301-2241 Ph: (920) 433-3630	Derek Carl Carlson, MD 301 E Saint Joseph St, Green Bay, WI 54301-2241 Ph: (920) 433-3630

Reviews and Comments

Psychiatry & Neurology Doctors in Green Bay, WI

Dr. Emily R Rademacher, D.O., M.B.A. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-3630 Fax: 920-437-0533
Dr. George D Soncrant, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3000 Riverside Dr, Suite 180, Green Bay, WI 54301 Phone: 920-632-7040 Fax: 920-632-7262
Dr. Aubree Rae Bruhnding, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 S Webster Ave Ste 201, Green Bay, WI 54301 Phone: 920-430-7100 Fax: 920-430-7114
John Christopher Charles, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073
Dr. David K Kaufman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 S Webster Ave, Suite 201, Green Bay, WI 54301 Phone: 920-430-7100 Fax: 920-430-7114
Dr. Anne Marie Wannamaker, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-3630 Fax: 920-431-0333
Veeranagouda Patil, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2640 W Point Rd, Green Bay, WI 54304 Phone: 920-490-3790 Fax: 920-490-3858

Derek Carl Carlson, MD - Medicare Psychiatry in Green Bay, WI