Dirk Jon Derksen, MD - Family Medicine in Appleton, WI

Dirk Jon Derksen, MD is a Family Medicine physician based in Appleton, Wisconsin. Dirk Jon Derksen is licensed to practice in Wisconsin (license number AD6655394) and his current practice location is 10 Wagon Wheel Dr, Appleton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 731-6374.

NPI number for Dirk Jon Derksen is 1013902055 and his current mailing address is 10 Wagon Wheel Dr, Appleton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013902055.

Contact Information

Dirk Jon Derksen, MD
10 Wagon Wheel Dr,
Appleton, WI 54913-9782
(920) 731-6374
Not Available



Physician's Profile

Full NameDirk Jon Derksen
GenderMale
SpecialityFamily Medicine
Location10 Wagon Wheel Dr, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013902055
  • Provider Enumeration Date: 09/15/2005
  • Last Update Date: 02/17/2009

Medical Identifiers

Medical identifiers for Dirk Jon Derksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013902055NPI-NPPES
31145100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine AD6655394 (Wisconsin)Primary

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. Dirk Jon Derksen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dirk Jon Derksen, MD
10 Wagon Wheel Dr,
Appleton, WI 54913-9782

Ph: (920) 731-6374
Dirk Jon Derksen, MD
10 Wagon Wheel Dr,
Appleton, WI 54913-9782

Ph: (920) 731-6374

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› Verified 5 days ago


Family Medicine Doctors in Appleton, WI

Michael John Van Abel, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Stephen C Fuller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Samuel James Heiks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    Fax: 920-996-1054
Brittany E Goodrich-braun,
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    
Ms. Cynthia Frances Susedik, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    Fax: 920-993-5037
N Carter Noble, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3329 N Richmond St, Appleton, WI 54911
Phone: 920-380-2715    

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