Melissa Carlson, - Medicare Nurse Practitioner in San Jose, CA

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Melissa Carlson, is a medicare enrolled "Nurse Practitioner - Family" in San Jose, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 1432 W San Carlos St, Suite 10, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 913-1163.

Melissa Carlson is licensed to practice in California (license number 95006038) 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 1639618523.

Contact Information

Melissa Carlson,
1432 W San Carlos St, Suite 10,
San Jose, CA 95126-3217
(408) 913-1163
Not Available

Map and Direction




Provider's Profile

Full NameMelissa Carlson
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1432 W San Carlos St, San Jose, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melissa Carlson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1639618523
  • Provider Enumeration Date: 02/13/2017
  • Last Update Date: 03/26/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2668740861
  • Enrollment ID: I20170612002320

Medical Identifiers

Medical identifiers for Melissa Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639618523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95006038 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional Medical Center Of San JoseSan jose, CAHospital
Kaiser Foundation Hospital-san JoseSan jose, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102257800

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. Melissa Carlson allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameSolano Gateway Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952344293
PECOS PAC ID: 5496725418
Enrollment ID: O20040916001355
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170
Entity NameEmergency Physicians Associates San Jose Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306311576
PECOS PAC ID: 8921344292
Enrollment ID: O20190107003386
Entity NameNes Western Group A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487125019
PECOS PAC ID: 4587902952
Enrollment ID: O20190208002821

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. Melissa Carlson 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 AddressPractice Location Address
Melissa Carlson,
326 Spode Way,
San Jose, CA 95123-5125

Ph: (408) 568-0547		Melissa Carlson,
1432 W San Carlos St, Suite 10,
San Jose, CA 95126-3217

Ph: (408) 913-1163

Reviews and Comments


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Phone: 408-963-2400    Fax: 408-963-2472
Thu Lan T Pham, NP
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Practice Location: 751 S Bascom Ave, San Jose, CA 95128
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Jenney Leem Lam, NP
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Phone: 408-223-7474    Fax: 408-223-9339

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.