Keith Harold Carlson, MD is a medicare enrolled "Ophthalmology" physician in Burnsville, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
14101 Fairview Dr Ste 350, Burnsville, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 522-4900.
Keith Harold Carlson is licensed to practice in Minnesota (license number 28116) 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 1679548879.
Physician's Profile
| Full Name | Keith Harold Carlson |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 43 Years |
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| Location | 14101 Fairview Dr Ste 350, Burnsville, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Keith Harold Carlson attended and graduated from University Of North Dakota School Of Medicine in 1982
NPI Data:
- NPI Number: 1679548879
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 05/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971673625
- Enrollment ID: I20080606000251
Medical Identifiers
Medical identifiers for Keith Harold Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679548879 | NPI | - | NPPES |
| 1679548879 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 28116 (Minnesota) | 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. Keith Harold Carlson allows following entities to bill medicare on his behalf.
| Entity Name | Claris Eye Care & Surgery, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841425899 PECOS PAC ID: 6800942079 Enrollment ID: O20090914000625 |
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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. Keith Harold 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 |
Keith Harold Carlson, MD 14101 Fairview Dr Ste 350, Burnsville, MN 55337-2506 Ph: (952) 522-4900 | Keith Harold Carlson, MD 14101 Fairview Dr Ste 350, Burnsville, MN 55337-2506 Ph: (952) 522-4900 |
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