Keith Cameron Carlson, MD - Medicare Dermatology in Bellevue, WA

Keith Cameron Carlson, MD is a medicare enrolled "Dermatology" physician in Bellevue, Washington. His current practice location is 11511 Ne 10th St, Bellevue, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 502-3000.

Keith Cameron Carlson is licensed to practice in Washington (license number MD60650552) 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 1093749640.

Contact Information

Keith Cameron Carlson, MD
11511 Ne 10th St,
Bellevue, WA 98004-8578
(425) 502-3000
Not Available



Physician's Profile

Full NameKeith Cameron Carlson
GenderMale
SpecialityDermatology
Location11511 Ne 10th St, Bellevue, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093749640
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284766726
  • Enrollment ID: I20170210001302

Medical Identifiers

Medical identifiers for Keith Cameron Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093749640NPI-NPPES
00G501320OtherCAMEDICAL PPIN #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD60650552 (Washington)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. Keith Cameron Carlson allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

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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. Keith Cameron 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
Keith Cameron Carlson, MD
11511 Ne 10th St, Bellevue Medical Center,
Bellevue, WA 98004

Ph: (425) 502-3000
Keith Cameron Carlson, MD
11511 Ne 10th St,
Bellevue, WA 98004-8578

Ph: (425) 502-3000

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Dermatology Doctors in Bellevue, WA

Julie S Francis, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 14030 Ne 24th St, Suite 202, Bellevue, WA 98007
Phone: 425-454-1104    Fax: 425-454-1290
Samir P. Master, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1414 116th Ave Ne Ste E, Bellevue, WA 98004
Phone: 425-753-2918    
Andy J Chien,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 11511 Ne 10th St, Bellevue, WA 98004
Phone: 425-502-3000    Fax: 425-502-3589
Dr. John P. Hackett, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1605 116th Ave Ne, Ste 102, Bellevue, WA 98004
Phone: 425-456-0709    Fax: 425-456-0358
Dr. James Philip Harnisch, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1600 116th Ave Ne, #306, Bellevue, WA 98004
Phone: 425-455-5111    Fax: 425-455-5113
Dr. Anjeli Krishnan Isaac, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 11511 Ne 10th St, Bellevue, WA 98004
Phone: 425-502-3000    

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