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DEREK C BIRKETT
NPI 1902390370
Social Worker in Madison, WI

Active since June 19, 2018PECOS Enrolled
1320 MENDOTA ST STE 120, MADISON, WI 53714(608) 280-3140 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Derek C Birkett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK C BIRKETT (NPI 1902390370) is an individual social worker in Madison, Wisconsin and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902390370
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameDEREK C BIRKETT
Location Address1320 MENDOTA ST STE 120Madison, WI 53714-1060
Mailing Address25 Kessel Ct Ste 105Madison, WI 53711-6227
Phone(608) 280-3140
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 19, 2018
✔ NPI 1902390370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1320 MENDOTA ST STE 120, Madison, WI 53714
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek C Birkett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961929187
PECOS Enrollment IDI20250509002540
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Derek Birkett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avandra Mental Wellness LLC
1.5 mi
Clinical
3010 UNION ST
Madison, WI 53714
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
NPI 1336922558 (269) 762-2421
Trailways LLC
8.6 mi
Mental Health
101 E MAIN ST STE 4
Waunakee, WI 53597
  • Reassigned Medicare billing, Wisconsin enrollment
  • 8 clinicians in this Medicare group
NPI 1639790256 (608) 886-9023

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CORRINA ANN ROMANDINE BA
Case Manager/Care Coordinator
1320 MENDOTA ST STE 120
MADISON, WI 53714
Dane County (608) 280-3180
ELIZABETH LAURIE ELLISON MS LMFT
Marriage & Family Therapist
1320 MENDOTA ST STE 120
MADISON, WI 53714
Dane County (608) 280-3106
STEPHANIE HOPPEL
Case Manager/Care Coordinator
1320 MENDOTA ST STE 120
MADISON, WI 53714
Dane County (608) 280-3180
AMANDA MARIE PETTERSON
Case Manager/Care Coordinator
1320 MENDOTA ST STE 120
MADISON, WI 53714
Dane County (608) 280-3180
KEVIN DONALD DAVIES MS
Counselor (Professional)
1320 MENDOTA ST STE 120
MADISON, WI 53714
Dane County (608) 280-2700
MRS. GABRIELLE TERESE KOLL RN
Registered Nurse (Psychiatric/Mental Health)
1320 MENDOTA ST STE 120
MADISON, WI 53714
Dane County (608) 280-2700
PAUL GAPINSKI
Case Manager/Care Coordinator
1320 MENDOTA ST STE 120
MADISON, WI 53714
Dane County (608) 280-2700
MS. BRITTANY LYNN WEBER
Case Manager/Care Coordinator
1320 MENDOTA ST STE 120
MADISON, WI 53714
Dane County (608) 280-2700

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 Birkett's NPI number?

The NPI number for Derek Birkett is 1902390370. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Derek Birkett located?

Derek Birkett practices at 1320 Mendota St Ste 120, Madison, WI 53714. The listed phone number is (608) 280-3140.

What is Derek Birkett's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Derek Birkett enrolled in Medicare?

Yes. Derek Birkett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Derek Birkett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Birkett reassigns Medicare benefits to 2 organizations: Avandra Mental Wellness LLC (Madison, WI) and Trailways LLC (Waunakee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Birkett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Birkett accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, Quartz and UnitedHealthcare list Derek Birkett 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 Birkett was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.