Ms Wendy Marie Carlson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Berkley, Massachusetts. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
21 Shore Rd, Berkley, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(774) 501-1440.
Ms Wendy Marie Carlson is licensed to practice in Massachusetts (license number RN230033) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1891158564.
Provider's Profile
| Full Name | Ms Wendy Marie Carlson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 21 Shore Rd, Berkley, Massachusetts |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Wendy Marie Carlson graduated from nursing school in 2016
NPI Data:
- NPI Number: 1891158564
- Provider Enumeration Date: 03/31/2016
- Last Update Date: 08/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 3678860772
- Enrollment ID: I20160916001316
Medical Identifiers
Medical identifiers for Ms Wendy Marie Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891158564 | NPI | - | NPPES |
| S400325789 | Medicaid | MA | |
| RN230033 | Other | MA | APRN |
| APRN01440 | Other | RI | APRN |
| MC4398120 | Other | MA | CONTROLLED SUBSTANCE REGISTRATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 48702 (Rhode Island) | Secondary |
| 163W00000X | Registered Nurse | 230033 (Massachusetts) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN01440 (Rhode Island) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN230033 (Massachusetts) | 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. Ms Wendy Marie Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Associates In Behavioral Health, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922164854
PECOS PAC ID: 0143329631
Enrollment ID: O20070625000374 |
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| Entity Name | Savida Health, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316253875
PECOS PAC ID: 4082809967
Enrollment ID: O20101117001145 |
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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. Ms Wendy Marie 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 |
|---|
Ms Wendy Marie Carlson, PMHNP-BC
21 Shore Rd,
Berkley, MA 02779-2324
Ph: (774) 501-1440 | Ms Wendy Marie Carlson, PMHNP-BC
21 Shore Rd,
Berkley, MA 02779-2324
Ph: (774) 501-1440 |
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