Mrs Jennifer M Carlson, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in North Branford, Connecticut. Her current practice location is
999 Foxon Rd, Suite 36, North Branford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 484-7334.
Mrs Jennifer M Carlson is licensed to practice in Connecticut (license number 000589) 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 1134251689.
Provider's Profile
Full Name | Mrs Jennifer M Carlson |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 999 Foxon Rd, North Branford, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134251689
- Provider Enumeration Date: 03/11/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517388952
- Enrollment ID: I20200610002659
Medical Identifiers
Medical identifiers for Mrs Jennifer M Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134251689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | 000589 (Connecticut) | 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. Mrs Jennifer M Carlson allows following entities to bill medicare on her behalf.
Entity Name | Prohealth Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
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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. Mrs Jennifer M 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 |
Mrs Jennifer M Carlson, APRN 167 Old Sachems Head Rd, Guilford, CT 06437-3136 Ph: (203) 484-7334 | Mrs Jennifer M Carlson, APRN 999 Foxon Rd, Suite 36, North Branford, CT 06471-1287 Ph: (203) 484-7334 |
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