Dr Kyle Richard Carlson, DO | |
1824 Dorchester Ct Ste A, Goshen, IN 46526-6819 | |
(574) 534-2548 | |
(574) 534-3622 |
Full Name | Dr Kyle Richard Carlson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 9 Years |
Location | 1824 Dorchester Ct Ste A, Goshen, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255718367 | NPI | - | NPPES |
300052895 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 02006490A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Goshen Hospital | Goshen, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkview Health System Inc | 2163336967 | 1192 |
Goshen Health System Inc | 4880598572 | 137 |
Entity Name | Parkview Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Entity Name | Goshen Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyle Richard Carlson, DO 1824 Dorchester Ct Ste A, Goshen, IN 46526-6819 Ph: (574) 534-2548 | Dr Kyle Richard Carlson, DO 1824 Dorchester Ct Ste A, Goshen, IN 46526-6819 Ph: (574) 534-2548 |
Dr. Karl Thomas Wagner Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1824 Dorchester Ct, Suite A, Goshen, IN 46526 Phone: 574-534-2548 Fax: 574-534-3622 | |
Dr. Martin L Saltzman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1824 Dorchester Ct, Goshen, IN 46526 Phone: 574-534-2548 | |
Christopher John Owens, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1824 Dorchester Ct Ste A, Goshen, IN 46526 Phone: 574-534-2548 Fax: 574-534-3622 | |
Dr. Benjamin H Nelson, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 213 Middlebury St, Goshen, IN 46528 Phone: 574-534-3300 Fax: 574-534-5412 | |
Dr. David Chester Koronkiewicz, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1824 Dorchester Ct, Goshen, IN 46526 Phone: 574-534-2548 Fax: 574-534-3622 | |
Dr. Bryan Boyer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1824 Dorchester Ct Ste A, Goshen, IN 46526 Phone: 574-534-2548 Fax: 574-534-3622 |