Dr Bruce Wayne Carlin, MD is a medicare enrolled "Urology" physician in Coalville, Utah. His current practice location is
375 Old Farm Ln, Coalville, Utah. You can reach out to his office (for appointments etc.) via phone at
(360) 355-9354.
Dr Bruce Wayne Carlin is licensed to practice in Utah (license number 160374-1205) 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 1164845517.
Physician's Profile
Full Name | Dr Bruce Wayne Carlin |
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Gender | Male |
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Speciality | Urology |
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Location | 375 Old Farm Ln, Coalville, Utah |
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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: 1164845517
- Provider Enumeration Date: 01/21/2014
- Last Update Date: 04/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 0042632903
- Enrollment ID: I20200623000184
Medical Identifiers
Medical identifiers for Dr Bruce Wayne Carlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164845517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 160374-1205 (Utah) | 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. Dr Bruce Wayne Carlin allows following entities to bill medicare on his behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200210001149 |
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Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062 |
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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. Dr Bruce Wayne Carlin 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 |
Dr Bruce Wayne Carlin, MD Po Box 412, Camas, WA 98607-0049 Ph: (360) 590-3095 | Dr Bruce Wayne Carlin, MD 375 Old Farm Ln, Coalville, UT 84017-6706 Ph: (360) 355-9354 |
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