Angela M Carlson, APRN, PMHNP-BC in Lincoln City, OR

Angela M Carlson, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lincoln City, Oregon. Her current practice location is 2600 Ne Highway 101 Ste 200, Lincoln City, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 921-3584.

Angela M Carlson is licensed to practice in Oregon (license number 10006742) 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 1598088858.

Contact Information

	Angela M Carlson, APRN, PMHNP-BC
	2600 Ne Highway 101 Ste 200, Lincoln City, OR 97367-4464
	(541) 921-3584
	(541) 614-1291

Map and Direction

Provider's Profile

Full Name	Angela M Carlson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2600 Ne Highway 101 Ste 200, Lincoln City, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598088858
Provider Enumeration Date: 03/01/2010
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2163882960
Enrollment ID: I20230712000552

Medical Identifiers

Medical identifiers for Angela M Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598088858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201909732RN (Oregon)	Secondary
225700000X	Massage Therapist	14899 (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10006742 (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. Angela M Carlson allows following entities to bill medicare on her behalf.

Entity Name	Willamette Valley Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790740520 PECOS PAC ID: 6103729314 Enrollment ID: O20040127000785

Entity Name	Christine Lynn Mccambridge
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619570322 PECOS PAC ID: 6608284385 Enrollment ID: O20210419000516

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. Angela M 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
Angela M Carlson, APRN, PMHNP-BC 2700 Se Stratus Ave, Mcminnville, OR 97128-6239 Ph: (503) 435-4557	Angela M Carlson, APRN, PMHNP-BC 2600 Ne Highway 101 Ste 200, Lincoln City, OR 97367-4464 Ph: (541) 921-3584

Reviews and Comments

Nurse Practitioner Nurses in Lincoln City, OR

Ms. Marlene Dissette, FNP, WHCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3015 Ne West Devils Lake Rd, Lincoln City, OR 97367 Phone: 541-994-8911
Mrs. Christine Lynn Mccambridge, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Ne Highway 101 Ste 200, Lincoln City, OR 97367 Phone: 541-921-3584 Fax: 541-614-1291
Tina Marie Carlson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 Se Jetty Ave Ste C, Lincoln City, OR 97367 Phone: 541-614-0482
Mrs. Lori Lynn Folmar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Nw Highway 101, Suite A, Lincoln City, OR 97367 Phone: 541-996-7480 Fax: 541-557-6439
Mrs. Erin Sanford Fitzgerald, FNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 820 Se Highway 101 Ste E2, Lincoln City, OR 97367 Phone: 971-465-9556 Fax: 888-224-4514
Dr. Omolola Omoyemi Akinnodi, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Ne Highway 101 Ste 200, Lincoln City, OR 97367 Phone: 541-921-3584 Fax: 541-614-1291
Donna L Robbins, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3015 Ne West Devils Lake Rd, Lincoln City, OR 97367 Phone: 503-437-5283 Fax: 541-994-2791

Angela M Carlson, APRN, PMHNP-BC - Medicare Nurse Practitioner in Lincoln City, OR