Lisa C Carlson, MD is a medicare enrolled "Pediatrics" physician in Elizabethtown, Pennsylvania. Her current practice location is
1 Continental Dr, Elizabethtown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 361-0666.
Lisa C Carlson is licensed to practice in Pennsylvania (license number MD068946L) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386601441.
Physician's Profile
Full Name | Lisa C Carlson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1 Continental Dr, Elizabethtown, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386601441
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 04/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 0648467241
- Enrollment ID: I20101208000937
Medical Identifiers
Medical identifiers for Lisa C Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386601441 | NPI | - | NPPES |
0017580860001 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD068946L (Pennsylvania) | 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. Lisa C Carlson allows following entities to bill medicare on her behalf.
Entity Name | The Milton S Hershey Medical Center Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
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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. Lisa C 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 |
Lisa C Carlson, MD Po Box 858, Mc A410, Hershey, PA 17033-0858 Ph: (800) 243-1455 | Lisa C Carlson, MD 1 Continental Dr, Elizabethtown, PA 17022-2231 Ph: (717) 361-0666 |
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