Dr Glen P Carlson, MD in Champlin, MN - Medicare Pediatric Medicine

Dr Glen P Carlson, MD is a medicare enrolled "Internal Medicine" physician in Champlin, Minnesota. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Park Nicollet Clinic and his current practice location is 12142 Business Park Blvd N, Champlin, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 977-0500.

Dr Glen P Carlson is licensed to practice in Minnesota (license number 44524) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245217231.

Contact Information

	Dr Glen P Carlson, MD
	12142 Business Park Blvd N, Champlin, MN 55316-4525
	(952) 977-0500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Glen P Carlson
Gender	Male
Speciality	Pediatric Medicine
Experience	26 Years
Location	12142 Business Park Blvd N, Champlin, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Glen P Carlson attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1998

NPI Data:

NPI Number: 1245217231
Provider Enumeration Date: 12/29/2005
Last Update Date: 04/04/2016

Medicare PECOS Information:

PECOS PAC ID: 9830233303
Enrollment ID: I20100222000457

Medical Identifiers

Medical identifiers for Dr Glen P Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245217231	NPI	-	NPPES
088244500	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	44524 (Minnesota)	Primary
208000000X	Pediatrics	44524 (Minnesota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1530

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 Glen P Carlson allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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 Glen P 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 Glen P Carlson, MD 8170 33rd Ave S, Po Box 1309 Mail Stop 21110q, Minneapolis, MN 55425-4516 Ph: () -	Dr Glen P Carlson, MD 12142 Business Park Blvd N, Champlin, MN 55316-4525 Ph: (952) 977-0500

Reviews and Comments

Internal Medicine Doctors in Champlin, MN

Carla Schultz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-236-0790
Dr. Lawrence Thomas Mollo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500
Dr. Lea Hilda Ekochin, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600

Dr Glen P Carlson, MD - Medicare Pediatric Medicine in Champlin, MN