James Russell Carlsten, MD - Medicare Pathology in Wakefield, RI

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James Russell Carlsten, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Wakefield, Rhode Island. He went to Warren Alpert Medical School Of Brown University and graduated in 2001 and has 23 years of diverse experience with area of expertise as Pathology. He is a member of the group practice University Pathologists, Llc, Internal Medicine Associates Inc, University Pathologists, Llc, University Pathologists, Llc and his current practice location is 70 Kenyon Ave, Wakefield, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 782-3803.

James Russell Carlsten is licensed to practice in Rhode Island (license number 12097) 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 1376590794.

Contact Information

James Russell Carlsten, MD
70 Kenyon Ave,
Wakefield, RI 02879-4239
(401) 782-3803
Not Available

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Physician's Profile

Full NameJames Russell Carlsten
GenderMale
SpecialityPathology
Experience23 Years
Location70 Kenyon Ave, Wakefield, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Russell Carlsten attended and graduated from Warren Alpert Medical School Of Brown University in 2001
  NPI Data:
  • NPI Number: 1376590794
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 10/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7517966898
  • Enrollment ID: I20061214000259

Medical Identifiers

Medical identifiers for James Russell Carlsten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376590794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 12097 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South County Hospital IncWakefield, RIHospital
Southcoast Hospitals GroupFall river, MAHospital
Our Lady Of Fatima HospitalNorth providence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Pathologists, Llc498178006118
Internal Medicine Associates Inc92340292579
University Pathologists, Llc498178006118
University Pathologists, Llc498178006118

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. James Russell Carlsten allows following entities to bill medicare on his behalf.
Entity NameInternal Medicine Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376553990
PECOS PAC ID: 9234029257
Enrollment ID: O20040316000141
Entity NameUniversity Pathologists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568640886
PECOS PAC ID: 4981780061
Enrollment ID: O20080529000014

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. James Russell Carlsten 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 AddressPractice Location Address
James Russell Carlsten, MD
180 Shady Hill Dr,
East Greenwich, RI 02818-1404

Ph: (401) 885-0767		James Russell Carlsten, MD
70 Kenyon Ave,
Wakefield, RI 02879-4239

Ph: (401) 782-3803

Reviews and Comments


Pathology Doctors in Wakefield, RI

Celia Ramos, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 100 Kenyon Ave, South County Hospital Pathologists, Wakefield, RI 02879
Phone: 401-782-8035    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.