Dr Todd Alan Derksen, DPM in Appleton, WI - Medicare Podiatry Provider

Dr Todd Alan Derksen, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Appleton, Wisconsin. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Northeast Wisconsin Foot And Ankle Assoc Sc and his current practice location is 1301 E Northland Ave, Ste B, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 731-1999.

Dr Todd Alan Derksen is licensed to practice in Wisconsin (license number 953-25) 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 1053578682.

Contact Information

	Dr Todd Alan Derksen, DPM
	1301 E Northland Ave, Ste B, Appleton, WI 54911
	(920) 731-1999
	(920) 731-3729

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Todd Alan Derksen
Gender	Male
Speciality	Podiatry
Experience	19 Years
Location	1301 E Northland Ave, Appleton, 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:

Dr Todd Alan Derksen graduated from medical school in 2005

NPI Data:

NPI Number: 1053578682
Provider Enumeration Date: 05/21/2008
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 5496821068
Enrollment ID: I20080904000627

Medical Identifiers

Medical identifiers for Dr Todd Alan Derksen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053578682	NPI	-	NPPES
43244900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	953-25 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Wisconsin Foot And Ankle Assoc Sc	8527000850	4

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. Dr Todd Alan Derksen allows following entities to bill medicare on his behalf.

Provider Name	Northeast Wisconsin Foot And Ankle Assoc Sc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093716177 PECOS PAC ID: 8527000850 Enrollment ID: O20050526000714

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. Dr Todd Alan Derksen 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
Dr Todd Alan Derksen, DPM 1301 E Northland Ave, Ste B, Appleton, WI 54911 Ph: (920) 702-5484	Dr Todd Alan Derksen, DPM 1301 E Northland Ave, Ste B, Appleton, WI 54911 Ph: (920) 731-1999

Reviews and Comments

Podiatrist in Appleton, WI

Dr. Theresa Lynn Schinke, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave, Ste B, Appleton, WI 54911 Phone: 920-731-1999 Fax: 920-731-3729
Dr. Timothy Kevin Tougas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave, Suite B, Appleton, WI 54911 Phone: 920-731-1999 Fax: 920-731-3729
Northeast Wisconsin Foot And Ankle Assoc., S.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 1301 E Northland Ave, Ste B, Appleton, WI 54911 Phone: 920-731-1999 Fax: 920-731-3729
Neal Diabetic Foot And Ankle Center Llc Podiatrist Medicare: Medicare Enrolled Practice Location: W2654 County Road Kk, Appleton, WI 54915 Phone: 920-830-2221 Fax: 920-257-2180
Barry Ellis Erdman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2005 S Lake Park Rd, Appleton, WI 54915 Phone: 920-882-9990 Fax: 920-882-9544
Marissa Mcnelly Le, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave Ste B, Appleton, WI 54911 Phone: 207-311-9999 Fax: 920-731-3729

Dr Todd Alan Derksen, DPM - Medicare Podiatrist in Appleton, WI