Kristopher Allen Carle, MD in Los Angeles, CA

Kristopher Allen Carle, MD is a medicare enrolled "Emergency Medicine" physician in Los Angeles, California. His current practice location is 2051 Marengo Street, Inpatient Tower-room C1a100, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (714) 401-8215.

Kristopher Allen Carle is licensed to practice in California (license number A125904) 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 1780017764.

Contact Information

	Kristopher Allen Carle, MD
	2051 Marengo Street, Inpatient Tower-room C1a100, Los Angeles, CA 90033
	(714) 401-8215
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristopher Allen Carle
Gender	Male
Speciality	Emergency Medicine
Location	2051 Marengo Street, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780017764
Provider Enumeration Date: 08/14/2013
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 2668789595
Enrollment ID: I20150909002901

Medical Identifiers

Medical identifiers for Kristopher Allen Carle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780017764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A125904 (California)	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. Kristopher Allen Carle allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Kristopher Allen Carle 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
Kristopher Allen Carle, MD 624 South Poplar Avenue, Brea, CA 92821 Ph: (714) 401-8215	Kristopher Allen Carle, MD 2051 Marengo Street, Inpatient Tower-room C1a100, Los Angeles, CA 90033 Ph: (714) 401-8215

Reviews and Comments

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Brian Truong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Westwood Blvd, Suite 300, Los Angeles, CA 90095 Phone: 310-794-0585

Kristopher Allen Carle, MD - Medicare Emergency Medicine in Los Angeles, CA