Mckenna Carlson, APN is a medicare enrolled "Nurse Practitioner" in Itasca, Illinois. Her current practice location is
1300 Arlington Heights Rd, Ste 130, Itasca, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 871-4540.
Mckenna Carlson is licensed to practice in Illinois (license number 209028730) 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 1285402099.
Provider's Profile
| Full Name | Mckenna Carlson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1300 Arlington Heights Rd, Itasca, Illinois |
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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: 1285402099
- Provider Enumeration Date: 12/12/2023
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052763679
- Enrollment ID: I20240119000918
Medical Identifiers
Medical identifiers for Mckenna Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285402099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209028730 (Illinois) | 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. Mckenna Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Dupage Medical Group Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20040412001479 |
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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. Mckenna 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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Mckenna Carlson, APN
Po Box 713260,
Chicago, IL 60677
Ph: (630) 469-9200 | Mckenna Carlson, APN
1300 Arlington Heights Rd, Ste 130,
Itasca, IL 60143
Ph: (847) 871-4540 |
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