Dr Robert A Carlson, MD - Medicare Pathology in Scarborough, ME

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Dr Robert A Carlson, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Scarborough, Maine. His current practice location is 301a Us Route 1, Scarborough, Maine. You can reach out to his office (for appointments etc.) via phone at (156) 560-2560.

Dr Robert A Carlson is licensed to practice in Maine (license number MD23532) 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 1972690907.

Contact Information

Dr Robert A Carlson, MD
301a Us Route 1,
Scarborough, ME 04074-9701
(156) 560-2560
Not Available

Map and Direction




Physician's Profile

Full NameDr Robert A Carlson
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location301a Us Route 1, Scarborough, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972690907
  • Provider Enumeration Date: 10/10/2006
  • Last Update Date: 08/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789597675
  • Enrollment ID: I20250102003025

Medical Identifiers

Medical identifiers for Dr Robert A Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972690907NPI-NPPES
282992OtherNYNEW YORK MEDICAL LICENSE
30814900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0006XPathology - Clinical Pathology 01104300 (Michigan)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MD23532 (Maine)Primary

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 Robert A Carlson allows following entities to bill medicare on his behalf.
Entity NameSpectrum Healthcare Partners, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386757607
PECOS PAC ID: 7618871245
Enrollment ID: O20040712000376
Entity NameSpectrum Healthcare Partners, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386757607
PECOS PAC ID: 7618871245
Enrollment ID: O20110312000005

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 Robert A 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 Robert A Carlson, MD
301 Us Route 1 Ste A,
Scarborough, ME 04074-4401

Ph: (715) 650-2560		Dr Robert A Carlson, MD
301a Us Route 1,
Scarborough, ME 04074-9701

Ph: (156) 560-2560

Reviews and Comments


Pathology Doctors in Scarborough, ME


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).

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