Dr Elmer Thomas Carlson, MD in Mount Dora, FL

Dr Elmer Thomas Carlson, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Mount Dora, Florida. His current practice location is 4880 N Highway 19a, Suite 200, Mount Dora, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 589-8111.

Dr Elmer Thomas Carlson is licensed to practice in Florida (license number ME 20114) 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 1598854358.

Contact Information

	Dr Elmer Thomas Carlson, MD
	4880 N Highway 19a, Suite 200, Mount Dora, FL 32757-2018
	(352) 589-8111
	(352) 589-8495

Map and Direction

Physician's Profile

Full Name	Dr Elmer Thomas Carlson
Gender	Male
Speciality	Pediatrics - Developmental - Behavioral Pediatrics
Location	4880 N Highway 19a, Mount Dora, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598854358
Provider Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9638134885
Enrollment ID: I20201209000159

Medical Identifiers

Medical identifiers for Dr Elmer Thomas Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598854358	NPI	-	NPPES
4471200	Other	FL	AETNA PROVIDER #
203150	Other	FL	HEALTHEASE PROVIDER #
35124	Other	FL	BLUECROSS/BLUESHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	ME 20114 (Florida)	Primary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	ME 20114 (Florida)	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 Elmer Thomas Carlson allows following entities to bill medicare on his behalf.

Entity Name	Lake Pediatrics P. A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942367370 PECOS PAC ID: 1557326709 Enrollment ID: O20201209000113

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 Elmer Thomas 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 Elmer Thomas Carlson, MD 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757-2018 Ph: (352) 589-8111	Dr Elmer Thomas Carlson, MD 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757-2018 Ph: (352) 589-8111

Reviews and Comments

Pediatrics Doctors in Mount Dora, FL

Rezia Catherine Shobhana Divaker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6551 N Orange Blossom Trl, Ste# 229, Mount Dora, FL 32757 Phone: 352-383-8384
Dr. Samuel S Divaker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6551 N Orange Blossom Trl Ste 229, Mount Dora, FL 32757 Phone: 352-383-8384 Fax: 678-553-0329
Dr. Lorraine Noreen Mitchell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 N Donnelly St Ste 103, Mount Dora, FL 32757 Phone: 352-383-0624
Liliane Kovacs Lesmes, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4880 N Highway 19a, Mount Dora, FL 32757 Phone: 352-589-8111 Fax: 352-589-8495
Michael Curtis Baker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 N Donnelly St, Ste 103, Mount Dora, FL 32757 Phone: 352-383-0624 Fax: 352-383-0758

Dr Elmer Thomas Carlson, MD - Medicare Pediatrics in Mount Dora, FL