Carl Matthew Pesta, DO - Medicare General Surgery in Mount Clemens, MI

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Carl Matthew Pesta, DO is a medicare enrolled "Surgery" physician in Mount Clemens, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Regional Trauma Care Pc, Surgical Consultants Pllc, Mclaren Macomb and his current practice location is 1030 Harrington St, 302a, Mount Clemens, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 759-2005.

Carl Matthew Pesta is licensed to practice in Michigan (license number 5101013083) 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 1114983913.

Contact Information

Carl Matthew Pesta, DO
1030 Harrington St, 302a,
Mount Clemens, MI 48043-2967
(586) 759-2005
(586) 759-2636

Map and Direction




Physician's Profile

Full NameCarl Matthew Pesta
GenderMale
SpecialityGeneral Surgery
Experience28 Years
Location1030 Harrington St, Mount Clemens, Michigan
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:
  • Carl Matthew Pesta attended and graduated from Michigan State University College Of Osteopathic Medicine in 1996
  NPI Data:
  • NPI Number: 1114983913
  • Provider Enumeration Date: 04/21/2006
  • Last Update Date: 05/26/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5890714661
  • Enrollment ID: I20051122000427

Medical Identifiers

Medical identifiers for Carl Matthew Pesta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114983913NPI-NPPES
114446930MedicaidMI
0255003665OtherMIBCBS PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 5101013083 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mclaren MacombMount clemens, MIHospital
Mclaren Port HuronPort huron, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regional Trauma Care Pc317369177110
Surgical Consultants Pllc68008039172
Mclaren Macomb8921912791115

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. Carl Matthew Pesta allows following entities to bill medicare on his behalf.
Entity NameMclaren Macomb
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396014601
PECOS PAC ID: 8921912791
Enrollment ID: O20040120001000
Entity NameMclaren Port Huron
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386888170
PECOS PAC ID: 9931018702
Enrollment ID: O20040204000779
Entity NameSurgical Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891708814
PECOS PAC ID: 6800803917
Enrollment ID: O20060315000253
Entity NameRegional Trauma Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851554497
PECOS PAC ID: 3173691771
Enrollment ID: O20081009000458
Entity NameVein Center At Allure Medical Spa Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457302051
PECOS PAC ID: 3173899523
Enrollment ID: O20171030002609
Entity NameRd Medical Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902520208
PECOS PAC ID: 6507226115
Enrollment ID: O20230714000379

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. Carl Matthew Pesta 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
Carl Matthew Pesta, DO
1030 Harrington St, Suite 302a,
Mount Clemens, MI 48043-2967

Ph: (586) 759-2005		Carl Matthew Pesta, DO
1030 Harrington St, 302a,
Mount Clemens, MI 48043-2967

Ph: (586) 759-2005

Reviews and Comments


Surgery Doctors in Mount Clemens, MI

Allyson Bowes Rivard, D.O.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1000 Harrington Blvd., Mount Clemens, MI 48043
Phone: 586-493-8000    
Mikaela Nicole Vitug, DO
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-790-9003    
Dr. Hannah Grace Jayroe, D.O.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8000    
Dr. Ashley N Harnden, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1030 Harrington St, Suite 103, Mount Clemens, MI 48043
Phone: 586-466-6230    Fax: 586-496-3828
Michael John Fish, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-493-8142    Fax: 586-493-3250
Hannah Chong, DO
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-790-9003    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.