Callie Taylor Carlson, in Portland, OR - Medicare Certified Registered Nurse Anesthetist (crna)

Callie Taylor Carlson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Anesthesiology Associates Llc and her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-7641.

Callie Taylor Carlson is licensed to practice in Oregon (license number 201911360CRNA) 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 1558886473.

Contact Information

	Callie Taylor Carlson,
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-7641
	(503) 494-7641

Map and Direction

Provider's Profile

Full Name	Callie Taylor Carlson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Callie Taylor Carlson graduated from nursing school in 2019

NPI Data:

NPI Number: 1558886473
Provider Enumeration Date: 08/11/2017
Last Update Date: 02/16/2022

Medicare PECOS Information:

PECOS PAC ID: 8527494376
Enrollment ID: I20200214000950

Medical Identifiers

Medical identifiers for Callie Taylor Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558886473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	201042242RN (Oregon)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	201911360CRNA (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohsu Hospital And Clinics	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Anesthesiology Associates Llc	6901702869	205

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. Callie Taylor Carlson allows following entities to bill medicare on her behalf.

Entity Name	University Anesthesiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841217817 PECOS PAC ID: 6901702869 Enrollment ID: O20031210000967

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. Callie Taylor 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
Callie Taylor Carlson, 3181 Sw Sam Jackson Park Rd, Mailcode Sjh-2, Portland, OR 97239-3011 Ph: (503) 494-4910	Callie Taylor Carlson, 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7641

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661
Dr. Dallas D. Regan, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641
Stephen John Yermal, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1111 Ne 99th Ave, Suite 302, Portland, OR 97220 Phone: 503-963-2763

Callie Taylor Carlson, - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, OR