Ms Jennifer Carlsen, MS in Modesto, CA - Medicare Counselor Provider

Ms Jennifer Carlsen, MS is a medicare enrolled "Counselor - Professional" provider in Modesto, California. Her current practice location is 800 Scenic Dr, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 525-6225.

Ms Jennifer Carlsen is licensed to practice in California (license number 50090) 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 1417089780.

Contact Information

	Ms Jennifer Carlsen, MS
	800 Scenic Dr, Modesto, CA 95350-6131
	(209) 525-6225
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jennifer Carlsen
Gender	Female
Speciality	Counselor - Professional
Location	800 Scenic Dr, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417089780
Provider Enumeration Date: 03/12/2007
Last Update Date: 07/09/2010

Medicare PECOS Information:

PECOS PAC ID: 0547600330
Enrollment ID: I20240426001101

Medical Identifiers

Medical identifiers for Ms Jennifer Carlsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417089780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	50090 (California)	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. Ms Jennifer Carlsen allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Ms Jennifer Carlsen 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
Ms Jennifer Carlsen, MS 800 Scenic Dr, Modesto, CA 95350-6131 Ph: (209) 525-6225	Ms Jennifer Carlsen, MS 800 Scenic Dr, Modesto, CA 95350-6131 Ph: (209) 525-6225

Reviews and Comments

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Ms Jennifer Carlsen, MS - Medicare Counselor in Modesto, CA