Kevin Charles Carlson, in Minneapolis, MN - Medicare Nurse Practitioner

Kevin Charles Carlson, is a medicare enrolled "Nurse Practitioner - Adult Health" in Minneapolis, Minnesota. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Allina Health System and his current practice location is 800 E 28th St Ste H2100, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 863-3900.

Kevin Charles Carlson is licensed to practice in Minnesota (license number 7248) 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 1669005948.

Contact Information

	Kevin Charles Carlson,
	800 E 28th St Ste H2100, Minneapolis, MN 55407-3723
	(612) 863-3900
	Not Available

Map and Direction

Provider's Profile

Full Name	Kevin Charles Carlson
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	800 E 28th St Ste H2100, Minneapolis, Minnesota
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:

Kevin Charles Carlson graduated from nursing school in 2019

NPI Data:

NPI Number: 1669005948
Provider Enumeration Date: 02/14/2020
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 0648662429
Enrollment ID: I20220128001338

Medical Identifiers

Medical identifiers for Kevin Charles Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669005948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	7248 (Minnesota)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	7248 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Abbott Northwestern Hospital	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101

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. Kevin Charles Carlson allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Kevin Charles 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
Kevin Charles Carlson, 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Kevin Charles Carlson, 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 Ph: (612) 863-3900

Reviews and Comments

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Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792

Kevin Charles Carlson, - Medicare Nurse Practitioner in Minneapolis, MN