Christian Lacelle Carlson, MD - Medicare Diagnostic Radiology in Philadelphia, PA

Christian Lacelle Carlson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Philadelphia, Pennsylvania. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ihc Health Services Inc and his current practice location is 160 E Erie Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 427-5234.

Christian Lacelle Carlson is licensed to practice in Pennsylvania (license number MD479323) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669462958.

Contact Information

Christian Lacelle Carlson, MD
160 E Erie Ave,
Philadelphia, PA 19134-1011
(215) 427-5234
Not Available

Map and Direction




Physician's Profile

Full NameChristian Lacelle Carlson
GenderMale
SpecialityDiagnostic Radiology
Experience24 Years
Location160 E Erie Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Christian Lacelle Carlson graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1669462958
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 08/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799835450
  • Enrollment ID: I20210513001808

Medical Identifiers

Medical identifiers for Christian Lacelle Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669462958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085P0229XRadiology - Pediatric Radiology 11931633-1205 (Utah)Secondary
2085P0229XRadiology - Pediatric Radiology MD479323 (Pennsylvania)Secondary
2085R0202XRadiology - Diagnostic Radiology 11931633-1205 (Utah)Secondary
2085R0202XRadiology - Diagnostic Radiology 01058718A (Indiana)Secondary
2085R0202XRadiology - Diagnostic Radiology MD479323 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ihc Health Services Inc18502094203531

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. Christian Lacelle Carlson allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303
Entity NameUniversity Of Utah Pediatric Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487018974
PECOS PAC ID: 0547552473
Enrollment ID: O20160713000371
Entity NameTellica Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760197198
PECOS PAC ID: 3577950765
Enrollment ID: O20231201000761

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. Christian Lacelle 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
Christian Lacelle Carlson, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 662-1800
Christian Lacelle Carlson, MD
160 E Erie Ave,
Philadelphia, PA 19134-1011

Ph: (215) 427-5234

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.

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.