Keith Cameron Carlson, MD in Bellevue, WA

Keith Cameron Carlson, MD is a medicare enrolled "Dermatology" physician in Bellevue, Washington. His current practice location is 11511 Ne 10th St, Bellevue, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 502-3000.

Keith Cameron Carlson is licensed to practice in Washington (license number MD60650552) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093749640.

Contact Information

	Keith Cameron Carlson, MD
	11511 Ne 10th St, Bellevue, WA 98004-8578
	(425) 502-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Keith Cameron Carlson
Gender	Male
Speciality	Dermatology
Location	11511 Ne 10th St, Bellevue, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093749640
Provider Enumeration Date: 07/10/2006
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 4284766726
Enrollment ID: I20170210001302

Medical Identifiers

Medical identifiers for Keith Cameron Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093749640	NPI	-	NPPES
00G501320	Other	CA	MEDICAL PPIN #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD60650552 (Washington)	Primary

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. Keith Cameron Carlson allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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. Keith Cameron 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
Keith Cameron Carlson, MD 11511 Ne 10th St, Bellevue Medical Center, Bellevue, WA 98004 Ph: (425) 502-3000	Keith Cameron Carlson, MD 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000

Reviews and Comments

Dermatology Doctors in Bellevue, WA

Julie S Francis, MD Dermatology Medicare: Medicare Enrolled Practice Location: 14030 Ne 24th St, Suite 202, Bellevue, WA 98007 Phone: 425-454-1104 Fax: 425-454-1290
Samir P. Master, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1414 116th Ave Ne Ste E, Bellevue, WA 98004 Phone: 425-753-2918
Andy J Chien, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589
Dr. John P. Hackett, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1605 116th Ave Ne, Ste 102, Bellevue, WA 98004 Phone: 425-456-0709 Fax: 425-456-0358
Dr. James Philip Harnisch, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1600 116th Ave Ne, #306, Bellevue, WA 98004 Phone: 425-455-5111 Fax: 425-455-5113
Dr. Anjeli Krishnan Isaac, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000

Keith Cameron Carlson, MD - Medicare Dermatology in Bellevue, WA