Waldo B Carlson, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Iron Mountain, Michigan. He went to University Of Michigan Medical School and graduated in 1979 and has 45 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Dickinson County Healthcare System and his current practice location is
1707 S Stephenson Ave, Iron Mountain, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 779-7111.
Waldo B Carlson is licensed to practice in Michigan (license number 4301043955) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356324214.
Physician's Profile
Full Name | Waldo B Carlson |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 45 Years |
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Location | 1707 S Stephenson Ave, Iron Mountain, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Waldo B Carlson attended and graduated from University Of Michigan Medical School in 1979
NPI Data:
- NPI Number: 1356324214
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 11/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052449741
- Enrollment ID: I20100518000258
Medical Identifiers
Medical identifiers for Waldo B Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356324214 | NPI | - | NPPES |
30551400 | Medicaid | WI | |
3228033 | Medicaid | MI | |
110088084 | Other | MI | RR MEDICARE |
3902200121 | Other | MI | BCBS MI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 4301043955 (Michigan) | Secondary |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 4301043955 (Michigan) | Secondary |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 4301043955 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dickinson County Healthcare System | 6800784943 | 69 |
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. Waldo B Carlson allows following entities to bill medicare on his behalf.
Entity Name | Dickinson County Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891751186 PECOS PAC ID: 6800784943 Enrollment ID: O20040310000583 |
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Entity Name | Dickinson County Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891751186 PECOS PAC ID: 6800784943 Enrollment ID: O20040430000580 |
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Entity Name | Dickinson County Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891751186 PECOS PAC ID: 6800784943 Enrollment ID: O20050623000153 |
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Entity Name | Bell Physician Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578992491 PECOS PAC ID: 4981833654 Enrollment ID: O20140130000127 |
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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. Waldo B 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 |
Waldo B Carlson, MD Po Box 549, Iron Mountain, MI 49801-0549 Ph: (906) 774-1313 | Waldo B Carlson, MD 1707 S Stephenson Ave, Iron Mountain, MI 49801-3637 Ph: (906) 779-7111 |
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