Wayne A Carlson, MD is a
Emergency Medicine - Emergency Medical Services physician based in Buchanan, Michigan. Wayne A Carlson is licensed to practice in Michigan (license number 064990) and his current practice location is 2122 Grange Rd, Buchanan, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 471-5186.
NPI number for Wayne A Carlson is 1548202450 and his current mailing address is 2122 Grange Rd, Buchanan, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548202450.
Physician's Profile
| Full Name | Wayne A Carlson |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine - Emergency Medical Services |
|---|
| Location | 2122 Grange Rd, Buchanan, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548202450
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 07/29/2010
Medical Identifiers
Medical identifiers for Wayne A Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548202450 | NPI | - | NPPES |
| WC064990 | Other | MI | BC/BS |
| 200981120 | Medicaid | IN | |
| 4700197 | Medicaid | MI | |
| 4707975 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 064990 (Michigan) | Primary |
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. Wayne A Carlson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Wayne A Carlson, MD 2122 Grange Rd, Buchanan, MI 49107-9367 Ph: Not Available | Wayne A Carlson, MD 2122 Grange Rd, Buchanan, MI 49107-9367 Ph: (269) 471-5186 |
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