Bryan Carleton, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Circle Pines, Minnesota. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southern Cities Clinic and his current practice location is
620 Civic Heights Dr Ste 103, Circle Pines, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 321-8085.
Bryan Carleton is licensed to practice in Minnesota (license number R 190679-2) 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 1902201700.
Provider's Profile
| Full Name | Bryan Carleton |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 620 Civic Heights Dr Ste 103, Circle Pines, 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. |
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Medical Education and Training:
- Bryan Carleton graduated from nursing school in 2014
NPI Data:
- NPI Number: 1902201700
- Provider Enumeration Date: 10/23/2014
- Last Update Date: 06/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173847530
- Enrollment ID: I20161212000003
Medical Identifiers
Medical identifiers for Bryan Carleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902201700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R 190679-2 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Cities Clinic | 7517912991 | 7 |
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. Bryan Carleton allows following entities to bill medicare on his behalf.
| Entity Name | Southern Cities Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437218740
PECOS PAC ID: 7517912991
Enrollment ID: O20050318000140 |
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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. Bryan Carleton 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 |
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Bryan Carleton,
620 Civic Heights Dr Ste 103,
Circle Pines, MN 55014-4709
Ph: (612) 321-8085 | Bryan Carleton,
620 Civic Heights Dr Ste 103,
Circle Pines, MN 55014-4709
Ph: (612) 321-8085 |
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