Dr Sandra Regina Carlson, MD is a medicare enrolled "Internal Medicine" physician in Glen Rock, New Jersey. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Medical Associates Of Englewood Pc and her current practice location is
385 S Maple Ave Ste 101, Glen Rock, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 345-1855.
Dr Sandra Regina Carlson is licensed to practice in New Jersey (license number 25MA08561400) 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 1033321302.
Physician's Profile
| Full Name | Dr Sandra Regina Carlson |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 30 Years |
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| Location | 385 S Maple Ave Ste 101, Glen Rock, New Jersey |
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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 Sandra Regina Carlson graduated from medical school in 1994
NPI Data:
- NPI Number: 1033321302
- Provider Enumeration Date: 05/07/2007
- Last Update Date: 10/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 3375696586
- Enrollment ID: I20090806000095
Medical Identifiers
Medical identifiers for Dr Sandra Regina Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033321302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 25MA08561400 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Medical Associates Of Englewood Pc | 1355512252 | 526 |
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 Sandra Regina Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Medical Associates Of Englewood Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952681918
PECOS PAC ID: 1355512252
Enrollment ID: O20110927000020 |
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| Entity Name | Carlson Medical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346787256
PECOS PAC ID: 9739463977
Enrollment ID: O20170307000596 |
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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 Sandra Regina 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 Sandra Regina Carlson, MD
385 S Maple Ave Ste 101,
Glen Rock, NJ 07452-1545
Ph: (201) 345-1855 | Dr Sandra Regina Carlson, MD
385 S Maple Ave Ste 101,
Glen Rock, NJ 07452-1545
Ph: (201) 345-1855 |
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