Ethan W Carlson, MD - Medicare Family Practice in Baraboo, WI

Ethan W Carlson, MD is a medicare enrolled "Family Medicine" physician in Baraboo, Wisconsin. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dean Health Systems Inc and his current practice location is 1700 Tuttle St, Baraboo, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 355-3800.

Ethan W Carlson is licensed to practice in Wisconsin (license number 37699-020) 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 1265498588.

Contact Information

Ethan W Carlson, MD
1700 Tuttle St,
Baraboo, WI 53913-3319
(608) 355-3800
(608) 355-7001



Physician's Profile

Full NameEthan W Carlson
GenderMale
SpecialityFamily Practice
Experience31 Years
Location1700 Tuttle St, Baraboo, Wisconsin
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:
  • Ethan W Carlson attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1993
  NPI Data:
  • NPI Number: 1265498588
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 11/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1254379753
  • Enrollment ID: I20050425000104

Medical Identifiers

Medical identifiers for Ethan W Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265498588NPI-NPPES
1265498588MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 37699-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health At Home Home Health-wisconsinMadison, WIHome health agency
Home Health United HospiceBaraboo, WIHospice
Agrace HospicecareMadison, WIHospice
Ssm Health St Clare Hospital - BarabooBaraboo, WIHospital
Reedsburg Area Medical CenterReedsburg, WIHospital
Ssm Health St Mary's Hospital - MadisonMadison, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dean Health Systems Inc70128279831068

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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. Ethan W Carlson allows following entities to bill medicare on his behalf.
Entity NameDean Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053358846
PECOS PAC ID: 7012827983
Enrollment ID: O20031105000584

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Entity NameSsm Health Care Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730160011
PECOS PAC ID: 8527977867
Enrollment ID: O20040326001345

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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. Ethan W 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
Ethan W Carlson, MD
1700 Tuttle St,
Baraboo, WI 53913-3319

Ph: (608) 355-3800
Ethan W Carlson, MD
1700 Tuttle St,
Baraboo, WI 53913-3319

Ph: (608) 355-3800

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Family Medicine Doctors in Baraboo, WI

Cheryl R Goeckermann, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Tuttle St, Baraboo, WI 53913
Phone: 608-355-3800    Fax: 608-355-7001
Stuart G Hannah, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Tuttle St, Baraboo, WI 53913
Phone: 608-355-3800    Fax: 608-355-7001
Randy J Krszjzaniek, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Tuttle St, Baraboo, WI 53913
Phone: 608-355-3800    Fax: 608-355-7001
Elizabeth M Lownik, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Tuttle St, Baraboo, WI 53913
Phone: 608-355-3800    Fax: 608-355-7001
Dr. Nathan H Mustain, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Tuttle St, Baraboo, WI 53913
Phone: 608-355-3800    
David Lloyd Jarvis, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 14th St, Baraboo, WI 53913
Phone: 608-356-1400    Fax: 608-356-1564

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