Victoria Carlson, in Queen Creek, AZ - Medicare Nurse Practitioner

Victoria Carlson, is a medicare enrolled "Nurse Practitioner" in Queen Creek, Arizona. Her current practice location is 21772 S Ellsworth Loop Rd, Queen Creek, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 512-3700.

Victoria Carlson is licensed to practice in Arizona (license number 280163) 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 1265150957.

Contact Information

	Victoria Carlson,
	21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709
	(480) 512-3700
	Not Available

Map and Direction

Provider's Profile

Full Name	Victoria Carlson
Gender	Female
Speciality	Nurse Practitioner
Location	21772 S Ellsworth Loop Rd, Queen Creek, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265150957
Provider Enumeration Date: 08/18/2022
Last Update Date: 04/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0840668695
Enrollment ID: I20221129000642

Medical Identifiers

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

Identifier	Type	State	Issuer
1265150957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN199920 (Arizona)	Secondary
363L00000X	Nurse Practitioner	280163 (Arizona)	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. Victoria Carlson allows following entities to bill medicare on her behalf.

Entity Name	Banner Primary Care Physicians Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898

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. Victoria 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
Victoria Carlson, 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 Ph: (480) 512-3700	Victoria Carlson, 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 Ph: (480) 512-3700

Reviews and Comments

Nurse Practitioner Nurses in Queen Creek, AZ

Jena Patrice Boynton, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21321 E Ocotillo Rd, Suite 127, Queen Creek, AZ 85242 Phone: 480-888-7271 Fax: 480-888-7904
Tanya Nicole Turner, F.N.P-C. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20715 E Ocotillo Rd, Ste. 102, Queen Creek, AZ 85142 Phone: 480-987-0987 Fax: 480-987-0940
Daniella Rochelle Cleveland, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37000 N Gantzel Rd, Queen Creek, AZ 85140 Phone: 480-394-4000
Jessica Garcia, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142 Phone: 480-987-5525 Fax: 480-987-5115
Jennifer Rose Bartolo, MSN/FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22717 S Ellsworth Rd Ste B101, Queen Creek, AZ 85142 Phone: 480-306-5650
Amber Lynee Allen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142 Phone: 480-792-9200
Yva Jean-marc, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142 Phone: 480-792-9200

Victoria Carlson, - Medicare Nurse Practitioner in Queen Creek, AZ