Dr Jerry Dale Carlson, OD - Medicare Optometrist in Spanish Fork, UT

Dr Jerry Dale Carlson, OD is a medicare enrolled "Optometrist" provider in Spanish Fork, Utah. He went to Pacific University - College Of Optometry and graduated in 2002 and has 22 years of diverse experience with area of expertise as Optometry. His current practice location is 955 N Main St, Spanish Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 798-3557.

Dr Jerry Dale Carlson is licensed to practice in Utah (license number 5154950-9934) 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 1982651287.

Contact Information

Dr Jerry Dale Carlson, OD
955 N Main St,
Spanish Fork, UT 84660-1150
(801) 798-3557
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jerry Dale Carlson
GenderMale
SpecialityOptometry
Experience22 Years
Location955 N Main St, Spanish Fork, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jerry Dale Carlson attended and graduated from Pacific University - College Of Optometry in 2002
  NPI Data:
  • NPI Number: 1982651287
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8921089830
  • Enrollment ID: I20070724000798

Medical Identifiers

Medical identifiers for Dr Jerry Dale Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982651287NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 5154950-9934 (Utah)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. Dr Jerry Dale Carlson allows following entities to bill medicare on his behalf.
Provider NameAspen Ridge Eye Care Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1023223187
PECOS PAC ID: 0749381499
Enrollment ID: O20070724000802

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. Dr Jerry Dale 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
Dr Jerry Dale Carlson, OD
955 N Main St,
Spanish Fork, UT 84660-1150

Ph: (801) 798-3557
Dr Jerry Dale Carlson, OD
955 N Main St,
Spanish Fork, UT 84660-1150

Ph: (801) 798-3557

Reviews and Comments


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Practice Location: 59 S 400 W, Spanish Fork, UT 84660
Phone: 801-794-3937    Fax: 801-794-9880

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.