Christopher J Carlisle, MD - Medicare Emergency Medicine in Beresford, SD

Christopher J Carlisle, MD is a medicare enrolled "Emergency Medicine" physician in Beresford, South Dakota. His current practice location is 600 W Cedar St, Beresford, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 763-5002.

Christopher J Carlisle is licensed to practice in South Dakota (license number 1383) 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 1114921640.

Contact Information

Christopher J Carlisle, MD
600 W Cedar St,
Beresford, SD 57004-1125
(605) 763-5002
(605) 763-5908



Physician's Profile

Full NameChristopher J Carlisle
GenderMale
SpecialityEmergency Medicine
Location600 W Cedar St, Beresford, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114921640
  • Provider Enumeration Date: 06/13/2005
  • Last Update Date: 03/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911898952
  • Enrollment ID: I20040407000646

Medical Identifiers

Medical identifiers for Christopher J Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114921640NPI-NPPES
5602805MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 1383 (South Dakota)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. Christopher J Carlisle allows following entities to bill medicare on his behalf.
Entity NameSanford Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388

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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. Christopher J Carlisle 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
Christopher J Carlisle, MD
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: (605) 328-9556
Christopher J Carlisle, MD
600 W Cedar St,
Beresford, SD 57004-1125

Ph: (605) 763-5002

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Emergency Medicine Doctors in Beresford, SD


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