Miss Charlotte Mary Carlson, MD - Medicare Geriatric Medicine in Santa Rosa, CA

Miss Charlotte Mary Carlson, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Santa Rosa, California. She went to University Of California, San Francisco School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Geriatric Medicine. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 2455 Summerfield Rd, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 308-2815.

Miss Charlotte Mary Carlson is licensed to practice in California (license number 1009320) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134446875.

Contact Information

Miss Charlotte Mary Carlson, MD
2455 Summerfield Rd,
Santa Rosa, CA 95405-7815
(707) 308-2815
(707) 573-5439

Map and Direction




Physician's Profile

Full NameMiss Charlotte Mary Carlson
GenderFemale
SpecialityGeriatric Medicine
Experience14 Years
Location2455 Summerfield Rd, Santa Rosa, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Charlotte Mary Carlson attended and graduated from University Of California, San Francisco School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1134446875
  • Provider Enumeration Date: 04/20/2010
  • Last Update Date: 01/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1355642281
  • Enrollment ID: I20200205002906

Medical Identifiers

Medical identifiers for Miss Charlotte Mary Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134446875NPI-NPPES
A119269OtherCASTATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 1009320 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Visiting Nurse Association And HospiceSanta rosa, CAHospice
Sutter Santa Rosa Regional HospitalSanta rosa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782995

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. Miss Charlotte Mary Carlson allows following entities to bill medicare on her behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

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. Miss Charlotte Mary 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 AddressPractice Location Address
Miss Charlotte Mary Carlson, MD
2455 Summerfield Rd,
Santa Rosa, CA 95405-7815

Ph: (707) 308-2815
Miss Charlotte Mary Carlson, MD
2455 Summerfield Rd,
Santa Rosa, CA 95405-7815

Ph: (707) 308-2815

Reviews and Comments


Internal Medicine Doctors in Santa Rosa, CA

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Jarrod Paul Holmes, MD
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Dr. James Andrew Driscoll, M.D.
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Phone: 707-576-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.