Brian R Carlson, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Lebanon, Tennessee. His current practice location is
1411 W Baddour Parkway, Lebanon, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 443-2572.
Brian R Carlson is licensed to practice in Tennessee (license number MD0000009382) 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 1407892516.
Physician's Profile
Full Name | Brian R Carlson |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 1411 W Baddour Parkway, Lebanon, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407892516
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 08/21/2007
Medicare PECOS Information:
- PECOS PAC ID: 7911094032
- Enrollment ID: I20071106000387
Medical Identifiers
Medical identifiers for Brian R Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407892516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD0000009382 (Tennessee) | 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. Brian R Carlson allows following entities to bill medicare on his behalf.
Entity Name | Community Pathology Laboratory Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366440570 PECOS PAC ID: 7416860242 Enrollment ID: O20031107000598 |
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Entity Name | Pathologists Laboratory Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568484582 PECOS PAC ID: 6204923329 Enrollment ID: O20071106000276 |
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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. Brian R 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 |
Brian R Carlson, MD 4733 Andrew Jackson Pkwy, Ste G1, Hermitage, TN 37076-1358 Ph: (615) 883-0527 | Brian R Carlson, MD 1411 W Baddour Parkway, Lebanon, TN 37087-2513 Ph: (615) 443-2572 |
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