Brenda Lee Carlson, APRN, ACNS-BC is a medicare enrolled "Nurse Practitioner" in Polk City, Iowa. Her current practice location is
9197 Nw Polk City Dr, Polk City, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 360-2218.
Brenda Lee Carlson is licensed to practice in Iowa (license number Q067510) 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 1487931614.
Provider's Profile
| Full Name | Brenda Lee Carlson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 9197 Nw Polk City Dr, Polk City, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487931614
- Provider Enumeration Date: 11/16/2011
- Last Update Date: 04/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 2264672880
- Enrollment ID: I20180425001691
Medical Identifiers
Medical identifiers for Brenda Lee Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487931614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364S00000X | Clinical Nurse Specialist | S-067510 (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | Q067510 (Iowa) | 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. Brenda Lee Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191217001453 |
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| Entity Name | Community Care Health Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20210324001310 |
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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. Brenda Lee 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 |
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Brenda Lee Carlson, APRN, ACNS-BC
9197 Nw Polk City Dr,
Polk City, IA 50226
Ph: () - | Brenda Lee Carlson, APRN, ACNS-BC
9197 Nw Polk City Dr,
Polk City, IA 50226-2042
Ph: (515) 360-2218 |
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