Dr Jonathan David Carlson, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Kailua, Hawaii. He went to University Of Oklahoma College Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Pain Management. His current practice location is
40 Aulike St Ste 411, Kailua, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 452-1379.
Dr Jonathan David Carlson is licensed to practice in Arizona (license number 41788) 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 1538206644.
Physician's Profile
| Full Name | Dr Jonathan David Carlson |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 21 Years |
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| Location | 40 Aulike St Ste 411, Kailua, Hawaii |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan David Carlson attended and graduated from University Of Oklahoma College Of Medicine in 2004
NPI Data:
- NPI Number: 1538206644
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 12/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 3274686142
- Enrollment ID: I20181003003345
Medical Identifiers
Medical identifiers for Dr Jonathan David Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538206644 | NPI | - | NPPES |
| 41788 | Other | AZ | AZ LIC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | A95611 (California) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 41788 (Arizona) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 41788 (Arizona) | Primary |
Medical Facilities Affiliation
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 Jonathan David Carlson allows following entities to bill medicare on his behalf.
| Entity Name | Hawaii Pain And Spine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619467347
PECOS PAC ID: 0749532653
Enrollment ID: O20181003003269 |
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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 Jonathan David 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 |
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Dr Jonathan David Carlson, MD
1670 Makaloa St # 204-321,
Honolulu, HI 96814-3232
Ph: (808) 452-1379 | Dr Jonathan David Carlson, MD
40 Aulike St Ste 411,
Kailua, HI 96734-2757
Ph: (808) 452-1379 |
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