James Edward Carlson, DO - Medicare Family Practice in Cedar Lake, IN

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James Edward Carlson, DO is a medicare enrolled "Family Medicine" physician in Cedar Lake, Indiana. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1993 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Franciscan Physician Network, Rci (wrs), Llc. and his current practice location is 6831 W 133rd Ave, Cedar Lake, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 374-5970.

James Edward Carlson is licensed to practice in Indiana (license number 02004028A) 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 1518031475.

Contact Information

James Edward Carlson, DO
6831 W 133rd Ave,
Cedar Lake, IN 46303-8989
(219) 374-5970
(219) 374-7505

Map and Direction




Physician's Profile

Full NameJames Edward Carlson
GenderMale
SpecialityFamily Practice
Experience32 Years
Location6831 W 133rd Ave, Cedar Lake, Indiana
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:
  • James Edward Carlson attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1993
  NPI Data:
  • NPI Number: 1518031475
  • Provider Enumeration Date: 11/20/2006
  • Last Update Date: 04/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981880861
  • Enrollment ID: I20120731000720

Medical Identifiers

Medical identifiers for James Edward Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518031475NPI-NPPES
201079400MedicaidIN
01826791MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 02004028A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Franciscan Home CareHammond, INHome health agency
Franciscan Health Crown PointCrown point, INHospital
Franciscan Health MunsterMunster, INHospital
Community HospitalMunster, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Franciscan Physician Network30727906821041
Rci (wrs), Llc.5092624510362

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. James Edward Carlson allows following entities to bill medicare on his behalf.
Entity NameFranciscan Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225327984
PECOS PAC ID: 3072790682
Enrollment ID: O20110608000486

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. James Edward 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
James Edward Carlson, DO
Po Box 781076,
Detroit, MI 48278-1076

Ph: (317) 528-4800		James Edward Carlson, DO
6831 W 133rd Ave,
Cedar Lake, IN 46303-8989

Ph: (219) 374-5970

Reviews and Comments


Family Medicine Doctors in Cedar Lake, IN

Dr. Steve Sikorevich, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10120 Homestead Ct, Cedar Lake, IN 46303
Phone: 347-564-6379    
Jon D Misch, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13963 Morse Street, Cedar Lake, IN 46303
Phone: 219-374-5555    Fax: 219-374-6669

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.