Kevin Carlson, in Greenville, SC - Medicare Otolaryngology

Kevin Carlson, is a medicare enrolled "Otolaryngology" physician in Greenville, South Carolina. His current practice location is 200 Patewood Dr Ste B400, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 454-4368.

Kevin Carlson is licensed to practice in South Carolina (license number 92143) 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 1124523170.

Contact Information

	Kevin Carlson,
	200 Patewood Dr Ste B400, Greenville, SC 29615-6306
	(864) 454-4368
	(864) 241-9232

Map and Direction

Physician's Profile

Full Name	Kevin Carlson
Gender	Male
Speciality	Otolaryngology
Location	200 Patewood Dr Ste B400, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124523170
Provider Enumeration Date: 03/29/2018
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 8325395148
Enrollment ID: I20230614000483

Medical Identifiers

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

Identifier	Type	State	Issuer
1124523170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	82003 (Wisconsin)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Y00000X	Otolaryngology	92143 (South Carolina)	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. Kevin Carlson allows following entities to bill medicare on his behalf.

Entity Name	University Of Wisconsin Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435

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. Kevin 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
Kevin Carlson, 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697	Kevin Carlson, 200 Patewood Dr Ste B400, Greenville, SC 29615-6306 Ph: (864) 454-4368

Reviews and Comments

Otolaryngology Doctors in Greenville, SC

Dr. Augustus J Goforth Iii, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 230, Greenville, SC 29615 Phone: 864-281-9440 Fax: 864-281-9443
Gustavo Guimaraes Rangel, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste B400, Greenville, SC 29615 Phone: 864-454-4368 Fax: 864-241-9232
Robert A Wilson, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4200 E North St Ste 16, Greenville, SC 29615 Phone: 864-292-2800 Fax: 864-292-2921
Edward Benjamin Penn Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste B400, Greenville, SC 29615 Phone: 864-522-8603
Dr. Ronald T Yuko, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 290, Greenville, SC 29615 Phone: 864-281-9440 Fax: 864-281-9443
Dr. Robert Lafitte Eller, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Doctors Dr, Greenville, SC 29605 Phone: 864-572-7001 Fax: 864-412-0645

Kevin Carlson, - Medicare Otolaryngology in Greenville, SC