Mckenna Carlson, APN is a medicare enrolled "Nurse Practitioner" in Itasca, Illinois. She went to Vanderbilt University School Of Medicine and graduated in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Du Page Medical Group Ltd and her current practice location is
1300 Arlington Heights Rd, Ste 130, Itasca, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 871-4540.
Mckenna Carlson is licensed to practice in Illinois (license number 209028730) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285402099.
Provider's Profile
| Full Name | Mckenna Carlson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 1300 Arlington Heights Rd, Itasca, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Mckenna Carlson attended and graduated from Vanderbilt University School Of Medicine in 2023
NPI Data:
- NPI Number: 1285402099
- Provider Enumeration Date: 12/12/2023
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052763679
- Enrollment ID: I20240119000918
Medical Identifiers
Medical identifiers for Mckenna Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285402099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209028730 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Du Page Medical Group Ltd | 5496667941 | 1066 |
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. Mckenna Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Dupage Medical Group Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20040412001479 |
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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. Mckenna 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 |
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Mckenna Carlson, APN
Po Box 713260,
Chicago, IL 60677
Ph: (630) 469-9200 | Mckenna Carlson, APN
1300 Arlington Heights Rd, Ste 130,
Itasca, IL 60143
Ph: (847) 871-4540 |
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