Dr Jack Victor Carlisle, MD - Medicare Family Practice in Grand Rapids, MN

Dr Jack Victor Carlisle, MD is a medicare enrolled "Family Medicine" physician in Grand Rapids, Minnesota. He went to Rush Medical College Of Rush University and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Grand Itasca Clinic And Hospital and his current practice location is 1601 Golf Course Rd, Grand Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 326-5000.

Dr Jack Victor Carlisle is licensed to practice in Minnesota (license number 31750) 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 1326023060.

Contact Information

Dr Jack Victor Carlisle, MD
1601 Golf Course Rd,
Grand Rapids, MN 55744-8648
(218) 326-5000
(218) 326-1461



Physician's Profile

Full NameDr Jack Victor Carlisle
GenderMale
SpecialityFamily Practice
Experience37 Years
Location1601 Golf Course Rd, Grand Rapids, Minnesota
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 Jack Victor Carlisle attended and graduated from Rush Medical College Of Rush University in 1987
  NPI Data:
  • NPI Number: 1326023060
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 02/12/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0244142412
  • Enrollment ID: I20080304000641

Medical Identifiers

Medical identifiers for Dr Jack Victor Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326023060NPI-NPPES
462700800MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 31750 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Recover HealthGrand rapids, MNHome health agency
Grand Itasca Clinic & Hosp HomecareGrand rapids, MNHome health agency
Grand Itasca Clinic And HospitalGrand rapids, MNHospital
St Lukes HospitalDuluth, MNHospital
The Emeralds At Grand Rapids LlcGrand rapids, MNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand Itasca Clinic And Hospital8123939550115

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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 Jack Victor Carlisle allows following entities to bill medicare on his behalf.
Entity NameGrand Itasca Clinic And Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669426631
PECOS PAC ID: 8123939550
Enrollment ID: O20031105000209

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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 Jack Victor 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
Dr Jack Victor Carlisle, MD
1601 Golf Course Rd,
Grand Rapids, MN 55744-8648

Ph: (218) 326-5000
Dr Jack Victor Carlisle, MD
1601 Golf Course Rd,
Grand Rapids, MN 55744-8648

Ph: (218) 326-5000

News Archive

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Vaccine-induced SARS-CoV2 immune responses decline at similar rates as those after infection, study finds

A new preprint describes the causal role of waning antibody titers in decreased antibody persistence at one year.

Allergan agrees to acquire exclusive worldwide rights to Merck's CGRP migraine development program

Allergan plc and Merck, known as MSD outside the United States and Canada, today announced that they have entered into an agreement under which Allergan will acquire the exclusive worldwide rights to Merck's investigational small molecule oral calcitonin gene-related peptide (CGRP) receptor antagonists, which are being developed for the treatment and prevention of migraine, subject to expiration or termination of the waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 (HSR).

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In the Center for Strategic & International Studies' (CSIS) "Smart Global Health" blog, Janet Fleischman and Julia Nagel of CSIS discuss "the opportunities and challenges of integrating cervical cancer screening and treatment into HIV services for women," with a focus on the efforts of Zambia.

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Family Medicine Doctors in Grand Rapids, MN

Dr. Patricia C. Carlin-janssen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-5000    
Anne Eileen Tofte, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-5000    
Dr. Edwin A. Anderson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-5000    
Kristin A Johnson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 409 Se 13th St, Grand Rapids, MN 55744
Phone: 218-326-9100    Fax: 218-326-9200
Dr. Timothy J. Pehl, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-5000    
Dr. Michael B. Liebe, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-5000    
Arie Degrio,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-999-1442    Fax: 218-999-1461

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