Derek Carl Carlson is a Green Bay, Wisconsin based psychiatrist with 30 years of experience in Child & Adolescent. He completed his graduation in 1994. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Derek Carl Carlson is 61608-20 for Child & Adolescent in Wisconsin. His current practice location is 301 E Saint Joseph St, Green Bay. Patients can reach him at 920-433-3630. Derek Carl Carlson is MD in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1790775450. Derek Carl Carlson has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Derek Carl Carlson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Derek Carl Carlson
Specialization:
Child & Adolescent
Gender:
Male
Credentials:
MD
Experience:
30+ years
Medical School Attended:
Other
Graduation Year:
1994
Accepts Medicare Assignment:
Yes
Practice Address:
301 E Saint Joseph St, Green Bay, Wisconsin, 54301-2241
Phone:
920-433-3630
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6507914694
Enrollment ID:
I20140218001665
NPI Number:
1790775450
NPI Enumeration Date:
25 Oct, 2005
NPI Last Update On:
23 Nov, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek Carl Carlson are as mentioned below.
License Number
Specialization
State
Status
61608-20
Child & Adolescent
Wisconsin
Primary
4301106248
Child & Adolescent
Michigan
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Derek Carl Carlson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Bellin Psychiatric Center Inc (4486551058)
50
Bellin Psychiatric Center Inc (4486551058)
50
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Derek Carl Carlson 301 E Saint Joseph St, Green Bay, Wisconsin
Zip:
54301-2241
Phone Number:
920-433-3630
Patients can reach Derek Carl Carlson at 301 E Saint Joseph St, Green Bay, Wisconsin or can call to book an appointment on 920-433-3630.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.