Vernette Marie Carlson, MD
Individual provider Active NPI Family Medicine Physician · Stephenson, MI
NPI 1356440176 · NPPES record last updated Nov 23, 2009
Key facts
- NPI
- 1356440176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 048831 (MI)
- Practice address
- S 926 US Hwy 41
Stephenson, MI 49887 - Phone
- (906) 753-4665
- Fax
- (906) 753-4366
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carlson Medical PC
Practice addresses (Care Compare)
S926 US Hwy 41
Stephenson, MI 49887-8808
Phone (906) 753-4665
Hospital & facility affiliations
- Up Health System Home Care and Hospice
- Osf St Francis Hospital Home Health Care
- Aurora Medical Center Bay Area
- Menominee Health Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Menominee Health Services |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Oct 6, 2024 Oct 6, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040518000100 | MI | Practitioner - Family Practice | 4183614464 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048831 | MI | MD | Family Medicine Physician |
| 26935020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlson Medical PC | Family Medicine | Current |
Accepting new patients |
| NSH Menominee LLC | Past | Accepting new patients | |
| Bay Area Medical Center Inc | Past |
Accepting new patients |
Locations
N306 Maple St
Stephenson, MI 49887
Phone (906) 753-2231
S926 US Highway 41
Stephenson, MI 49887
Phone (906) 753-4665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 048831 | MI | Yes |
| Family Medicine Physician | 207Q00000X | 26935020 | WI |
Addresses
Primary practice location
S 926 US Hwy 41
Stephenson, MI 49887
Mailing address
PO Box 400
Stephenson, MI 49887-0400
Phone (906) 753-4665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4654290 | Medicaid | MI | |
| 0805500152 | Other | MI | BCBS |
Other providers in Stephenson, MI
- Hannah Janelle Aderman
- Aurora Medical Center Bay Area, Inc.
- Sarah Carhoun
- Carlson Medical PC
- Renee Haberland
- Margaret Eva Jolene Kelbach
- Sheila M Konkel
- Tracy Lynn Lacanne
- Madison Lynn Martin
All providers in Stephenson, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.