DEREK CARL CARLSON MD
NPI 1790775450
Psychiatry & Neurology - Child & Adolescent Psychiatry in Green Bay, WI
About Derek Carl Carlson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK CARL CARLSON MD (NPI 1790775450) is an individual child & adolescent psychiatry provider in Green Bay, Wisconsin, licensed in Wisconsin (61608-20) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Derek Carl Carlson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54301
GREEN BAY, WI 54301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Derek Carlson's NPI number?
The NPI number for Derek Carlson is 1790775450. It was assigned to this individual provider in the NPPES registry on October 25, 2005.
Where is Derek Carlson located?
Derek Carlson practices at 301 E Saint Joseph St, Green Bay, WI 54301. The listed phone number is (920) 433-3630.
What is Derek Carlson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Derek Carlson enrolled in Medicare?
Yes. Derek Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Derek Carlson accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica list Derek Carlson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Derek Carlson was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Derek Carl Carlson, MD · NPI 1790775450
Child & Adolescent Psychiatry physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since October 25, 2005.
## Identity
- **NPI:** 1790775450 (Entity type: Individual)
- **Enumerated:** October 25, 2005
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 61608-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 E SAINT JOSEPH ST, Green Bay, WI 54301-2241
- **Phone:** (920) 433-3630
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** November 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1790775450) · Data from the CMS NPPES public registry.