Dr Renee M Donahue Carlson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in St Louis Park, Minnesota. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Infectious Disease. She is a member of the group practice Park Nicollet Clinic and her current practice location is
3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 993-2000.
Dr Renee M Donahue Carlson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316266166.
Physician's Profile
| Full Name | Dr Renee M Donahue Carlson |
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| Gender | Female |
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| Speciality | Infectious Disease |
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| Experience | 14 Years |
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| Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
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| Accepts Medicare Assignments | Yes. She 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 Renee M Donahue Carlson graduated from medical school in 2010
NPI Data:
- NPI Number: 1316266166
- Provider Enumeration Date: 05/19/2010
- Last Update Date: 06/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133414709
- Enrollment ID: I20160822000580
Medical Identifiers
Medical identifiers for Dr Renee M Donahue Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316266166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RI0200X | Internal Medicine - Infectious Disease | 61032 (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
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 Renee M Donahue Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Park Nicollet Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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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 Renee M Donahue 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 Renee M Donahue Carlson, MD
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516
Ph: () - | Dr Renee M Donahue Carlson, MD
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527
Ph: (952) 993-2000 |
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