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

Dr Jacob Carlson, MD is a medicare enrolled "Surgery" physician in Southlake, Texas. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as General Surgery. 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 Texas (license number T5085) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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
SpecialityGeneral Surgery
Experience12 Years
Location415 E Southlake Blvd Ste 101, Southlake, Texas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacob Carlson graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1568881282
  • Provider Enumeration Date: 04/09/2014
  • Last Update Date: 03/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8729305990
  • Enrollment ID: I20251229002810

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

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


Surgery Doctors in Southlake, TX

Joseph Radzevich, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 431 E State Highway 114 Ste 450, Southlake, TX 76092
Phone: 817-912-1610    Fax: 817-912-1611
Dr. Robert W Sewell, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092
Phone: 817-748-0200    Fax: 817-749-0204
Maria Valeria Simone, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092
Phone: 817-748-0200    Fax: 817-749-0204
Dr. Grant Alexander Bond, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092
Phone: 817-416-8080    
Miral Sapan Amin, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1230 N Kimball Ave Ste 130, Southlake, TX 76092
Phone: 248-760-3339    Fax: 248-760-3339
Brooks Brenden Kelly, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092
Phone: 817-809-3155    

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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