Ina S Carlson, PHD, HSPP in Fort Wayne, IN - Medicare Clinical Psychologist Provider

Ina S Carlson, PHD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. She graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Park Center Inc and her current practice location is 1909 Carew St, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 481-2800.

Ina S Carlson is licensed to practice in Indiana (license number 20090244A) 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 1265490650.

Contact Information

	Ina S Carlson, PHD, HSPP
	1909 Carew St, Fort Wayne, IN 46805-4707
	(260) 481-2800
	(260) 969-8442

Map and Direction

Healthcare Provider's Profile

Full Name	Ina S Carlson
Gender	Female
Speciality	Clinical Psychologist
Experience	42 Years
Location	1909 Carew St, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ina S Carlson graduated from medical school in 1982

NPI Data:

NPI Number: 1265490650
Provider Enumeration Date: 05/03/2006
Last Update Date: 10/17/2022

Medicare PECOS Information:

PECOS PAC ID: 0244425122
Enrollment ID: I20101117001044

Medical Identifiers

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

Identifier	Type	State	Issuer
1265490650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20090244A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Center Inc	5991794794	34

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. Ina S Carlson allows following entities to bill medicare on her behalf.

Entity Name	Park Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306897004 PECOS PAC ID: 5991794794 Enrollment ID: O20041213000226

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. Ina S 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
Ina S Carlson, PHD, HSPP 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Ina S Carlson, PHD, HSPP 1909 Carew St, Fort Wayne, IN 46805-4707 Ph: (260) 481-2800

Reviews and Comments

Psychologist in Fort Wayne, IN

Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845 Phone: 260-266-5400 Fax: 260-266-5409
Dr. Michelle Renne Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804 Phone: 260-434-1606 Fax: 260-434-1612
Dr. Victor L Rebman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825 Phone: 260-471-9902 Fax: 260-471-9902
Jason T. Cook, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804 Phone: 260-483-2400 Fax: 260-960-9361
Dr. Galen Arthur Yordy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807 Phone: 260-456-4880 Fax: 260-456-3559
Dr. Kelly Stewart Hutner, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845 Phone: 260-266-5370 Fax: 260-266-5379
Dr. Bruce Edward Nerenberg, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 800-360-8387 Fax: 260-460-1481

Ina S Carlson, PHD, HSPP - Medicare Psychologist in Fort Wayne, IN