Annelise M Carlson, MD - Medicare Diagnostic Radiology in Minneapolis, MN

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Annelise M Carlson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Minneapolis, Minnesota. She went to University Of Minnesota Medical School and graduated in 2003 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Smi Imaging Llc, Simonmed Imaging Florida Llc, Gila River Health Care Corporation and her current practice location is 5228 Evanswood Ln, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 595-1100.

Annelise M Carlson is licensed to practice in Minnesota (license number 48435) 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 1720153075.

Contact Information

Annelise M Carlson, MD
5228 Evanswood Ln,
Minneapolis, MN 55436-1133
(952) 595-1100
(612) 294-4903

Map and Direction




Physician's Profile

Full NameAnnelise M Carlson
GenderFemale
SpecialityDiagnostic Radiology
Experience22 Years
Location5228 Evanswood Ln, Minneapolis, Minnesota
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:
  • Annelise M Carlson attended and graduated from University Of Minnesota Medical School in 2003
  NPI Data:
  • NPI Number: 1720153075
  • Provider Enumeration Date: 11/22/2006
  • Last Update Date: 03/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860493772
  • Enrollment ID: I20070119000337

Medical Identifiers

Medical identifiers for Annelise M Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720153075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 60206 (Wisconsin)Secondary
2085R0202XRadiology - Diagnostic Radiology 48435 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Huhu Kam Memorial HospitalSacaton, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smi Imaging Llc3476696220255
Simonmed Imaging Florida Llc6608036108166
Gila River Health Care Corporation0648174185204

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. Annelise M Carlson allows following entities to bill medicare on her behalf.
Entity NameSt. Croix Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043240922
PECOS PAC ID: 9335032184
Enrollment ID: O20110929000165
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20181128003481
Entity NameHealth Diagnostics Of California A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20200311001408
Entity NameSimonmed Imaging Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477830818
PECOS PAC ID: 6608036108
Enrollment ID: O20200401000882
Entity NameHoward Simon Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659930998
PECOS PAC ID: 7214369966
Enrollment ID: O20210224000775
Entity NameSimonmed Reno Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306576145
PECOS PAC ID: 5991140360
Enrollment ID: O20240628001291

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. Annelise M 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
Annelise M Carlson, MD
11995 Singletree Ln, Ste 500,
Eden Prairie, MN 55344-5347

Ph: (952) 595-1301		Annelise M Carlson, MD
5228 Evanswood Ln,
Minneapolis, MN 55436-1133

Ph: (952) 595-1100

Reviews and Comments


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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.

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