Jessica R Carlson, MD is a medicare enrolled "Surgery" physician in Gold Beach, Oregon. Her current practice location is
94220 4th St, Gold Beach, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 247-3910.
Jessica R Carlson is licensed to practice in Oregon (license number MD176604) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487940318.
Physician's Profile
| Full Name | Jessica R Carlson |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 94220 4th St, Gold Beach, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487940318
- Provider Enumeration Date: 06/20/2011
- Last Update Date: 09/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799918439
- Enrollment ID: I20160726000420
Medical Identifiers
Medical identifiers for Jessica R Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487940318 | NPI | - | NPPES |
| 1487696985 | Other | OR | CURRY GENERAL HOSPITAL NPI |
| 500706467 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD176604 (Oregon) | 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. Jessica R Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Curry Health District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487696985
PECOS PAC ID: 2365352747
Enrollment ID: O20040109000983 |
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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. Jessica R 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 Address | Practice Location Address |
|---|
Jessica R Carlson, MD
94220 4th St,
Gold Beach, OR 97444-7756
Ph: (541) 247-3000 | Jessica R Carlson, MD
94220 4th St,
Gold Beach, OR 97444-7756
Ph: (541) 247-3910 |
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