Dr Tracy Nicole Carlson, PHD is a medicare enrolled "Psychologist - Counseling" provider in Kenner, Louisiana. Her current practice location is
200 W Esplanade Ave Ste 412, Kenner, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(504) 464-2940.
Dr Tracy Nicole Carlson is licensed to practice in * (Not Available) (license number ) 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 1356657340.
Healthcare Provider's Profile
Full Name | Dr Tracy Nicole Carlson |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 200 W Esplanade Ave Ste 412, Kenner, Louisiana |
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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: 1356657340
- Provider Enumeration Date: 08/27/2010
- Last Update Date: 09/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 9436429743
- Enrollment ID: I20170719002819
Medical Identifiers
Medical identifiers for Dr Tracy Nicole Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356657340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 1405 (Louisiana) | Secondary |
103TC1900X | Psychologist - Counseling | (* (Not Available)) | 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 Tracy Nicole Carlson allows following entities to bill medicare on her behalf.
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
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Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285285510 PECOS PAC ID: 7911334503 Enrollment ID: O20200220000369 |
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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 Tracy Nicole 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 Tracy Nicole Carlson, PHD 1300 South 2nd Street, Suite 180, Center For Sexual Health, Minneapolis, MN 55454 Ph: (612) 625-1500 | Dr Tracy Nicole Carlson, PHD 200 W Esplanade Ave Ste 412, Kenner, LA 70065-2475 Ph: (504) 464-2940 |
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