Kenneth Michael Carlson, MD in Woodburn, OR

Kenneth Michael Carlson, MD is a medicare enrolled "Pediatrics" physician in Woodburn, Oregon. His current practice location is 1475 Mount Hood Ave, Woodburn, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 981-1509.

Kenneth Michael Carlson is licensed to practice in Oregon (license number MD22868) 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 1952332702.

Contact Information

	Kenneth Michael Carlson, MD
	1475 Mount Hood Ave, Woodburn, OR 97071-9099
	(503) 981-1509
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth Michael Carlson
Gender	Male
Speciality	Pediatrics
Location	1475 Mount Hood Ave, Woodburn, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952332702
Provider Enumeration Date: 07/06/2006
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 7012359151
Enrollment ID: I20240521003560

Medical Identifiers

Medical identifiers for Kenneth Michael Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952332702	NPI	-	NPPES
287244	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD22868 (Oregon)	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. Kenneth Michael Carlson allows following entities to bill medicare on his behalf.

Entity Name	Yakima Valley Farm Workers Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427001940 PECOS PAC ID: 4385541986 Enrollment ID: O20040116001020

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. Kenneth Michael 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
Kenneth Michael Carlson, MD 1475 Mount Hood Ave, Woodburn, OR 97071-9099 Ph: (503) 982-0626	Kenneth Michael Carlson, MD 1475 Mount Hood Ave, Woodburn, OR 97071-9099 Ph: (503) 981-1509

Reviews and Comments

Pediatrics Doctors in Woodburn, OR

Roopa Pandit, Pediatrics Medicare: Medicare Enrolled Practice Location: 1475 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-0626 Fax: 503-981-1509
Diana Marie Linderoth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 Fax: 503-981-0423
Mrs. Ashley Parker Holmes, Pediatrics Medicare: Medicare Enrolled Practice Location: 1475 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-0626 Fax: 503-981-1509
Richard Henry Steinberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 Fax: 503-981-0423
Megan Caitlin Schwartz, Pediatrics Medicare: Medicare Enrolled Practice Location: 1475 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-0626 Fax: 503-981-1509
Saritha Seru, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 Fax: 503-981-0423
Elena Valeryevna Kormaskova, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 Fax: 503-467-5588

Kenneth Michael Carlson, MD - Medicare Pediatrics in Woodburn, OR