Krista Carlson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Logan, Utah. Her current practice location is
90 E 200 N, Logan, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 752-0750.
Krista Carlson is licensed to practice in Utah (license number 12264880-3501) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558713941.
Healthcare Provider's Profile
| Full Name | Krista Carlson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 90 E 200 N, Logan, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558713941
- Provider Enumeration Date: 07/08/2016
- Last Update Date: 08/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759807159
- Enrollment ID: I20250429001882
Medical Identifiers
Medical identifiers for Krista Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558713941 | NPI | - | NPPES |
| 204234580 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LCSW-40093 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12264880-3501 (Utah) | Primary |
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. Krista Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Bear River Mental Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285736553
PECOS PAC ID: 0840102356
Enrollment ID: O20031103000725 |
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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. Krista 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 Address | Practice Location Address |
|---|
Krista Carlson, LCSW
276 W Oneida St,
Preston, ID 83263-1043
Ph: (801) 635-7744 | Krista Carlson, LCSW
90 E 200 N,
Logan, UT 84321-4034
Ph: (435) 752-0750 |
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