Jacqueline Carlson, NP - Medicare Nurse Practitioner in Fort Myers, FL

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Jacqueline Carlson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Myers, Florida. Her current practice location is 8570 Granite Ct Ste 101, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (833) 769-3524.

Jacqueline Carlson is licensed to practice in Florida (license number 11019665) 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 1730826538.

Contact Information

Jacqueline Carlson, NP
8570 Granite Ct Ste 101,
Fort Myers, FL 33908-4240
(833) 769-3524
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Carlson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location8570 Granite Ct Ste 101, Fort Myers, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730826538
  • Provider Enumeration Date: 05/13/2022
  • Last Update Date: 08/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1658756184
  • Enrollment ID: I20220919002683

Medical Identifiers

Medical identifiers for Jacqueline Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730826538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 11019665 (Florida)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. Jacqueline Carlson allows following entities to bill medicare on her behalf.
Entity NameMcr Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213
Entity NameBalanced Wellbeing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20200416000590

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. Jacqueline 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
Jacqueline Carlson, NP
23043 Olean Blvd,
Port Charlotte, FL 33952-7120

Ph: (941) 661-6199		Jacqueline Carlson, NP
8570 Granite Ct Ste 101,
Fort Myers, FL 33908-4240

Ph: (833) 769-3524

Reviews and Comments


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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.