Dr Douglas W Carlson, MD in Springfield, IL

Dr Douglas W Carlson, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Springfield, Illinois. His current practice location is 301 N 8th St, Suite Pav4a, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

Dr Douglas W Carlson is licensed to practice in Illinois (license number 036-136399) 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 1669490132.

Contact Information

	Dr Douglas W Carlson, MD
	301 N 8th St, Suite Pav4a, Springfield, IL 62701-1041
	(217) 545-8000
	(217) 545-2303

Map and Direction

Physician's Profile

Full Name	Dr Douglas W Carlson
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	301 N 8th St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669490132
Provider Enumeration Date: 07/17/2006
Last Update Date: 09/27/2018

Medicare PECOS Information:

PECOS PAC ID: 4688705726
Enrollment ID: I20141003001623

Medical Identifiers

Medical identifiers for Dr Douglas W Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669490132	NPI	-	NPPES
103810102	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036-136399 (Illinois)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	036-136399 (Illinois)	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 Douglas W Carlson allows following entities to bill medicare on his behalf.

Entity Name	Siu Physicians & Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769

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 Douglas W 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
Dr Douglas W Carlson, MD Po Box 19658, Springfield, IL 62794-9658 Ph: (217) 545-8000	Dr Douglas W Carlson, MD 301 N 8th St, Suite Pav4a, Springfield, IL 62701-1041 Ph: (217) 545-8000

Reviews and Comments

Pediatrics Doctors in Springfield, IL

Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Claudine Gillison, Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541
Gopinathan Gangadharan Nambiar, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-391-0392
Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654
Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541
Tracy P Milbrandt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Springfield, IL 62701 Phone: 217-545-4238 Fax: 217-545-2303

Dr Douglas W Carlson, MD - Medicare Pediatrics in Springfield, IL