| Brian D Carlsen, MD | |
|
610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 | |
| (320) 763-5123 | |
| (320) 763-7883 |
| Full Name | Brian D Carlsen |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 35 Years |
| Location | 610 30th Avenue West, Alexandria, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063492932 | NPI | - | NPPES |
| 030050446 | Other | MN | RR MEDICARE |
| 343765500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 36495 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Douglas County Hospital | 0648171413 | 110 |
| Entity Name | Douglas County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164424305 PECOS PAC ID: 0648171413 Enrollment ID: O20040115000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Carlsen, MD 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 Ph: (320) 763-5123 | Brian D Carlsen, MD 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 Ph: (320) 763-5123 |
Justin T Conley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 | |
Jean K Fahey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 | |
Marcine P Ellwein, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 | |
Ann Renner, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 | |
Kenneth J. Martin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 |