Michael John Carlson, DO - Medicare Family Practice in Fairmount City, PA

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Michael John Carlson, DO is a medicare enrolled "Family Medicine" physician in Fairmount City, Pennsylvania. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Upper Chesapeake Emergency Medicine Physicians Llc and his current practice location is 82 Town Run Rd, Fairmount City, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 275-1600.

Michael John Carlson is licensed to practice in Pennsylvania (license number OT014880) 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 1942556873.

Contact Information

Michael John Carlson, DO
82 Town Run Rd,
Fairmount City, PA 16224-1502
(814) 275-1600
Not Available

Map and Direction




Physician's Profile

Full NameMichael John Carlson
GenderMale
SpecialityFamily Practice
Experience12 Years
Location82 Town Run Rd, Fairmount City, Pennsylvania
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:
  • Michael John Carlson attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2012
  NPI Data:
  • NPI Number: 1942556873
  • Provider Enumeration Date: 07/30/2012
  • Last Update Date: 07/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3173838448
  • Enrollment ID: I20150814014096

Medical Identifiers

Medical identifiers for Michael John Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942556873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OT014880 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Md Shore Medical Ctr At ChestertownChestertown, MDHospital
Umd Shore Medical Center At EastonEaston, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upper Chesapeake Emergency Medicine Physicians Llc286058734283

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. Michael John Carlson allows following entities to bill medicare on his behalf.
Entity NameChester River Hospital Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679536809
PECOS PAC ID: 0749220671
Enrollment ID: O20050510000504
Entity NameUpper Chesapeake Emergency Medicine Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285854026
PECOS PAC ID: 2860587342
Enrollment ID: O20070927001103

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. Michael John 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
Michael John Carlson, DO
300a N Main St,
Knox, PA 16232-1906

Ph: () -		Michael John Carlson, DO
82 Town Run Rd,
Fairmount City, PA 16224-1502

Ph: (814) 275-1600

Reviews and Comments


Family Medicine Doctors in Fairmount City, PA

Dr. Barry James Snyder, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1323 Brookville St, Fairmount City, PA 16224
Phone: 814-275-3320    Fax: 814-275-4413
Michael Joseph Gould,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 82 Town Run Rd, Fairmount City, PA 16224
Phone: 814-275-1600    
Tammy Ganoe,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1323 Brookville St, Fairmount City, PA 16224
Phone: 814-275-3320    Fax: 814-375-4413

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.