Tracy Derksen, APNP in West Bend, WI - Medicare Nurse Practitioner

Tracy Derksen, APNP is a medicare enrolled "Nurse Practitioner - Family" in West Bend, Wisconsin. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and her current practice location is 1700 W Paradise Dr, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 334-3451.

Tracy Derksen is licensed to practice in Wisconsin (license number 9480-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497304612.

Contact Information

	Tracy Derksen, APNP
	1700 W Paradise Dr, West Bend, WI 53095-9795
	(262) 334-3451
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracy Derksen
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1700 W Paradise Dr, West Bend, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy Derksen graduated from nursing school in 2019

NPI Data:

NPI Number: 1497304612
Provider Enumeration Date: 09/10/2019
Last Update Date: 02/17/2021

Medicare PECOS Information:

PECOS PAC ID: 1951733930
Enrollment ID: I20191112003655

Medical Identifiers

Medical identifiers for Tracy Derksen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497304612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9480-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Josephs Community Hospital West Bend	West bend, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc	3678760063	1052

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. Tracy Derksen allows following entities to bill medicare on her behalf.

Entity Name	Fox Valley Pulmonary Medicine Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366506016 PECOS PAC ID: 6002707320 Enrollment ID: O20040324000551

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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. Tracy 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
Tracy Derksen, APNP 1700 W Paradise Dr, West Bend, WI 53095-9790 Ph: (262) 334-3451	Tracy Derksen, APNP 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451

Reviews and Comments

Nurse Practitioner Nurses in West Bend, WI

Alyssa Sekadlo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 Fax: 262-338-9767
Katelyn Steger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Jennifer Nicole Thomson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Dr. Shanice S Kukuck, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Monica Katherine Binder, DNP, APNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Casey L Nolan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Pleasant Valley Rd, Internal Medicine, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301
Stacy L Boden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-3451 Fax: 262-306-2964

Tracy Derksen, APNP - Medicare Nurse Practitioner in West Bend, WI