Carlton Ralph Daniel Iii, MD in Jackson, MS

Carlton Ralph Daniel Iii, MD is a medicare enrolled "Dermatology" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 971 Lakeland Dr, 659, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 362-8514.

Carlton Ralph Daniel Iii is licensed to practice in Mississippi (license number 7976) 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 1639104904.

Contact Information

	Carlton Ralph Daniel Iii, MD
	971 Lakeland Dr, 659, Jackson, MS 39216-4609
	(601) 362-8514
	(601) 366-7621

Map and Direction

Physician's Profile

Full Name	Carlton Ralph Daniel Iii
Gender	Male
Speciality	Dermatology
Experience	47 Years
Location	971 Lakeland Dr, Jackson, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carlton Ralph Daniel Iii attended and graduated from University Of Mississippi School Of Medicine in 1977

NPI Data:

NPI Number: 1639104904
Provider Enumeration Date: 07/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2264511468
Enrollment ID: I20080429000668

Medical Identifiers

Medical identifiers for Carlton Ralph Daniel Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639104904	NPI	-	NPPES
00019627	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	7976 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	782

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. Carlton Ralph Daniel Iii allows following entities to bill medicare on his behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Carlton Ralph Daniel Iii 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 Address	Practice Location Address
Carlton Ralph Daniel Iii, MD 971 Lakeland Dr, 659, Jackson, MS 39216-4609 Ph: (601) 362-8514	Carlton Ralph Daniel Iii, MD 971 Lakeland Dr, 659, Jackson, MS 39216-4609 Ph: (601) 362-8514

Reviews and Comments

Dermatology Doctors in Jackson, MS

Julie P Wyatt, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3000 Old Canton Rd Ste 430, Jackson, MS 39216 Phone: 601-982-5441 Fax: 601-982-5442
Kimberley Helen Morine Ward, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000
Dr. Joseph H Robinson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1278
Lucette Liddell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Dr. Colleen Powers, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5604
Dr. Ashton Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-8000
Chemene Quinn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St Ste 406, Dermatology Consultants, Pllc, Jackson, MS 39202 Phone: 601-968-1912

Carlton Ralph Daniel Iii, MD - Medicare Dermatology in Jackson, MS