Nika Karlsson, DO - Medicare Family Medicine in Machias, ME

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Nika Karlsson, DO is a medicare enrolled "Family Medicine" physician in Machias, Maine. Her current practice location is 11 Hospital Dr, Machias, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 255-3356.

Nika Karlsson is licensed to practice in Maine (license number DO3934) 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 1326615576.

Contact Information

Nika Karlsson, DO
11 Hospital Dr,
Machias, ME 04654-3325
(207) 255-3356
Not Available

Map and Direction




Physician's Profile

Full NameNika Karlsson
GenderFemale
SpecialityFamily Medicine
Location11 Hospital Dr, Machias, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326615576
  • Provider Enumeration Date: 06/07/2021
  • Last Update Date: 09/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335549336
  • Enrollment ID: I20241010003412

Medical Identifiers

Medical identifiers for Nika Karlsson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326615576NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO3934 (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. Nika Karlsson allows following entities to bill medicare on her behalf.
Entity NameMercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629078712
PECOS PAC ID: 6103737812
Enrollment ID: O20040217000943
Entity NameDown East Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689670242
PECOS PAC ID: 6709858194
Enrollment ID: O20040809000314

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. Nika Karlsson 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
Nika Karlsson, DO
11 Hospital Dr,
Machias, ME 04654-3325

Ph: (207) 255-3356		Nika Karlsson, DO
11 Hospital Dr,
Machias, ME 04654-3325

Ph: (207) 255-3356

Reviews and Comments


Family Medicine Doctors in Machias, ME

Dr. David C Rioux, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11 Hospital Dr, Machias, ME 04654
Phone: 207-255-4567    Fax: 207-255-0705
Cynthia Sammis, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 53 Fremont St, Machias, ME 04654
Phone: 207-255-8290    Fax: 207-255-4109
Katherine Grover, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Rr 1 Box 11, Machias, ME 04654
Phone: 207-255-3356    Fax: 207-255-0289

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.