Vera Carlson


Address: 565 W 465, Suite 130, Providence, UT 84332-4802

Vera Carlson (NPI# 1023095585, PAC ID# 8921057803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1023095585
PAC ID by PECOS 8921057803
Professional Enrollment ID I20051213000106
Full Name Vera Carlson
Address 565 W 465
Suite 130
Providence
UT 84332-4802
Gender F
Credential MD
Graduation Year 1994
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460015 LOGAN REGIONAL HOSPITAL

Other Locations

Address Phone Organization
565 W 465, Suite 130, Providence, UT 84332-4802

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 90%
ACI_EC_TRANS_HIE_1 Health Information Exchange 16%
ACI_EC_TRANS_PEA_1 Provide Patient Access 56%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 11%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 38%
ACI_EC_TRANS_SM_1 Secure Messaging 48%
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 80%
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 51%

Organization Information

Office Location

Street Address 565 W 465
SUITE 130
City PROVIDENCE
State UT
Zip 84332-4802

Physicians in the same zip code

Name Specialty Organization Address
Spencer W Wade Chiropractic 565 W 465 N, Suite 140, Providence, UT 84332-4802
Corey B Johnson Emergency Medicine 565 W 465 N, 130 Cache Vein Care, Providence, UT 84332-4802
Thomas Owen Fullmer X Chiropractic 1652s Hwy 165, Providence, UT 84332-6701
Nichole L Jardine Clinical Social Worker 545 W 465, Suite 130, Providence, UT 84332-8005
Thomas E Atkin Clinical Psychologist 545 W 465 N, Providence, UT 84332-8005
Jeremy William Broadhurst Family Medicine Ihc Health Services Inc 190 S Hwy 165, Providence, UT 84332-9512
Robert G Patterson Family Medicine Ihc Health Services Inc 190 S Hwy 165, Providence, UT 84332-9512
Kevin R Duke Family Medicine Mountainstar Medical Group-cache Valley LLC 382 W 280, Providence, UT 84332-9753
Richard Thomas Stevens Family Medicine Mountainstar Medical Group-cache Valley LLC 382 W 280, Providence, UT 84332-9753
Lars Bergeson Family Practice Mountainstar Medical Group-cache Valley LLC 382 W 280, Providence, UT 84332-9753
Find all physicians in zip 84332

Competitor

Search similar physicians

City PROVIDENCE
Zip Code 84332
Specialty FAMILY MEDICINE
City + Specialty PROVIDENCE + FAMILY MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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