Dr Jacob Carlson, MD - Medicare Plastic Surgery in Southlake, TX

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Dr Jacob Carlson, MD is a medicare enrolled "Plastic Surgery" physician in Southlake, Texas. His current practice location is 415 E Southlake Blvd Ste 101, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 416-8080.

Dr Jacob Carlson is licensed to practice in Florida (license number ME169949) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568881282.

Contact Information

Dr Jacob Carlson, MD
415 E Southlake Blvd Ste 101,
Southlake, TX 76092-6279
(817) 416-8080
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacob Carlson
GenderMale
SpecialityPlastic Surgery
Location415 E Southlake Blvd Ste 101, Southlake, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568881282
  • Provider Enumeration Date: 04/09/2014
  • Last Update Date: 03/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8729305990
  • Enrollment ID: I20220828000033

Medical Identifiers

Medical identifiers for Dr Jacob Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568881282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery T5085 (Texas)Secondary
208600000XSurgery E-15020 (Arkansas)Secondary
208600000XSurgery TRN27888 (Florida)Secondary
208200000XPlastic Surgery ME169949 (Florida)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Dr Jacob Carlson allows following entities to bill medicare on his behalf.
Entity NameVpa Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679510499
PECOS PAC ID: 7618911660
Enrollment ID: O20050610000702
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190520001486

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. Dr Jacob 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
Dr Jacob Carlson, MD
455 Northwest Hwy Apt 3302,
Irving, TX 75039-4245

Ph: (501) 920-3713		Dr Jacob Carlson, MD
415 E Southlake Blvd Ste 101,
Southlake, TX 76092-6279

Ph: (817) 416-8080

Reviews and Comments


Plastic Surgery Doctors in Southlake, TX

Dr. Scott Edward Kasden, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2813 W Southlake Blvd Suite 130, Suite 130, Southlake, TX 76092
Phone: 817-416-9980    Fax: 817-337-7379
Sacha Imran Obaid, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1545 E Southlake Blvd, Suite 250, Southlake, TX 76092
Phone: 214-663-4339    
Matthew Novak, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 900 E Southlake Blvd Ste 100, Southlake, TX 76092
Phone: 817-442-8900    Fax: 817-488-2490
Tarik David Madni, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 245 W State Highway 114 Ste 100, Southlake, TX 76092
Phone: 817-912-1200    Fax: 817-997-8791
Michael A Bogdan, MD, FACS
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 410 N Carroll Ave, Suite 170, Southlake, TX 76092
Phone: 817-442-1236    Fax: 817-442-1247
Dr. Ameen Habash, M.D.
Plastic Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 1100 E Southlake Blvd Ste 250, Southlake, TX 76092
Phone: 817-484-0222    Fax: 817-484-0223

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.