Christopher J Carlisle, MD is a medicare enrolled "Emergency Medicine" physician in Beresford, South Dakota. His current practice location is
600 W Cedar St, Beresford, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 763-5002.
Christopher J Carlisle is licensed to practice in South Dakota (license number 1383) 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 1114921640.
Physician's Profile
| Full Name | Christopher J Carlisle |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 600 W Cedar St, Beresford, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114921640
- Provider Enumeration Date: 06/13/2005
- Last Update Date: 03/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911898952
- Enrollment ID: I20040407000646
Medical Identifiers
Medical identifiers for Christopher J Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114921640 | NPI | - | NPPES |
| 5602805 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 1383 (South Dakota) | 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. Christopher J Carlisle allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388 |
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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. Christopher J Carlisle 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 |
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Christopher J Carlisle, MD
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-9556 | Christopher J Carlisle, MD
600 W Cedar St,
Beresford, SD 57004-1125
Ph: (605) 763-5002 |
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