Sungjoon Carlson, PA-C - Medicare Physician Assistant in Scottsdale, AZ

  1. Home
  2. Physician Assistant
  3. AZ
  4. Scottsdale
Sungjoon Carlson, PA-C is a medicare enrolled "Physician Assistant" in Scottsdale, Arizona. His current practice location is 13400 E Shea Blvd, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 301-8000.

Sungjoon Carlson is licensed to practice in Arizona (license number 10738) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114474970.

Contact Information

Sungjoon Carlson, PA-C
13400 E Shea Blvd,
Scottsdale, AZ 85259-5499
(480) 301-8000
Not Available

Map and Direction




Provider's Profile

Full NameSungjoon Carlson
GenderMale
SpecialityPhysician Assistant
Location13400 E Shea Blvd, Scottsdale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114474970
  • Provider Enumeration Date: 09/08/2016
  • Last Update Date: 02/25/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2365739091
  • Enrollment ID: I20170407001015

Medical Identifiers

Medical identifiers for Sungjoon Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114474970NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10738 (Arizona)Primary
363A00000XPhysician Assistant PA55487 (California)Secondary
363A00000XPhysician Assistant 10002114A (Indiana)Secondary
363A00000XPhysician Assistant PA1834 (Nevada)Secondary

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. Sungjoon Carlson allows following entities to bill medicare on his behalf.
Entity NameRabessler MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174731970
PECOS PAC ID: 6709978562
Enrollment ID: O20070823001024
Entity NameGolding Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588943328
PECOS PAC ID: 1254505126
Enrollment ID: O20111111000340
Entity NameK Sasse Surgical Associates, Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013271857
PECOS PAC ID: 4880846138
Enrollment ID: O20121212000463
Entity NameBessler MD PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801288774
PECOS PAC ID: 1355660077
Enrollment ID: O20150430002704
Entity NameSimonmed Reno PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306576145
PECOS PAC ID: 5991140360
Enrollment ID: O20240226003302

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. Sungjoon 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 AddressPractice Location Address
Sungjoon Carlson, PA-C
13400 E Shea Blvd,
Scottsdale, AZ 85259-5499

Ph: (480) 301-8000		Sungjoon Carlson, PA-C
13400 E Shea Blvd,
Scottsdale, AZ 85259-5499

Ph: (480) 301-8000

Reviews and Comments


Physician Assistant Nurses in Scottsdale, AZ

Brandon Paige, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3126 N Civic Center Plz, Scottsdale, AZ 85251
Phone: 480-874-2040    
Abigail Cottrell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 480-301-8000    
Mr. Roberto Bobby Alexander Jr., PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3126 N Civic Center Plz, Scottsdale, AZ 85251
Phone: 480-874-2040    Fax: 480-874-2041
Ms. Jessica Irene Sazdoff, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9700 N 91st St, Suite C-200, Scottsdale, AZ 85258
Phone: 480-425-5063    Fax: 480-425-5010
Amber N Brooks-gumbert, P.A.-C.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 480-301-8000    
Orland Kenton Boucher, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 480-301-8000    
Lori L Gushue, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 480-301-8000    

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.