Derek C Birkett

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1320 Mendota St Ste 120
Madison, WI 53714-1060

Phone

(608) 280-3140

NPI assigned

Jun 19, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Trailways LLCGroup PAC ID 7214374842, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trailways LLC

  • Mental Health Counselor
  • Waunakee, WI
  • NPI 1639790256
  Medicare reassignment Care Compare group NPD
• Trauma Life Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waunakee, WI
  • NPI 1336930304
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1902390370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KESSEL CT STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537116227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MENDOTA ST STE 120",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141060",
            "telephone_number": "608-280-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKETT",
        "first_name": "DEREK",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lais Birk
• James Birk
• Laura Elizabeth Birkeland, M.S.
• Jamie Russell Birkelo, PA-C
• Chloe Lane Birkenthal
• Sarah Birkholz, PT, DPT
• Karen Birling, PAC
• Casey Ann Birschbach, MD
• Tiffany A Bisenius, CRNA
• John Bisges, M.D.

• Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.