THOMAS R. BERENTSEN MD – NPI #1477593036
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

THOMAS BERENTSEN is a psychiatry & neurologist located in JANESVILLE, WI. NPPES has assigned the NPI number 1477593036 to THOMAS BERENTSEN on June 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 6 years ago on Nov 03, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THOMAS BERENTSEN below.

NPI Profile for
THOMAS R. BERENTSEN

NPI Number
1477593036
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THOMAS R. BERENTSEN
Credentials
MD
Primary location
3200 E RACINE ST
JANESVILLE, WI 53546-2343
Phone: (608) 371-8000 Fax: (608) 371-8008
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Nov 03, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THOMAS BERENTSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI1477593036
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)		 WI 23622-020
2084S0012X
- Psychiatry & Neurology / Sleep Medicine		 WI 23622-020

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
3200 E RACINE ST,
JANESVILLE, WI 77025-1669
Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
3200 E RACINE ST,
JANESVILLE, WI 77025-1669

Additional Information

Education
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE - Graduated 1977
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
THOMAS BERENTSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • FORT MEMORIAL HOSPITAL
      611 SHERMAN AVE E
      FORT ATKINSON, WI 53538
    • SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE
      3400 EAST RACINE STREET
      JANESVILLE, WI 53546
    • SSM HEALTH ST MARY'S HOSPITAL - MADISON
      700 SOUTH PARK ST
      MADISON, WI 53715
    • STOUGHTON HOSPITAL ASSOCIATION
      900 RIDGE ST
      STOUGHTON, WI 53589

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.