Dr Brian D Carlson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Phenix City, Alabama. His current practice location is
3301 Stadium Dr, Phenix City, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 297-0237.
Dr Brian D Carlson is licensed to practice in Alabama (license number 2023) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336633734.
Healthcare Provider's Profile
Full Name | Dr Brian D Carlson |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 3301 Stadium Dr, Phenix City, Alabama |
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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: 1336633734
- Provider Enumeration Date: 06/19/2018
- Last Update Date: 06/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 6709137664
- Enrollment ID: I20180917001796
Medical Identifiers
Medical identifiers for Dr Brian D Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336633734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 2023 (Alabama) | 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 Brian D Carlson allows following entities to bill medicare on his behalf.
Entity Name | Clinical Psychologists, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841221272 PECOS PAC ID: 9234151028 Enrollment ID: O20051221000256 |
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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. Dr Brian D 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 |
Dr Brian D Carlson, PSYD Po Box 231396, Montgomery, AL 36123-1396 Ph: (912) 682-6062 | Dr Brian D Carlson, PSYD 3301 Stadium Dr, Phenix City, AL 36867-3115 Ph: (334) 297-0237 |
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