Carol D King, MD - Medicare Family Practice in Canton, MI

Carol D King, MD is a medicare enrolled "Family Medicine" physician in Canton, Michigan. She went to Northwestern University Feinberg Medical School and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Crystal Lake Clinic Pc and her current practice location is 49650 Cherry Hill Rd, Suite 240, Canton, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 398-7880.

Carol D King is licensed to practice in Michigan (license number 4301068425) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629046297.

Contact Information

Carol D King, MD
49650 Cherry Hill Rd, Suite 240,
Canton, MI 48187-4849
(734) 398-7880
(734) 761-7318

Map and Direction




Physician's Profile

Full NameCarol D King
GenderFemale
SpecialityFamily Practice
Experience28 Years
Location49650 Cherry Hill Rd, Canton, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carol D King attended and graduated from Northwestern University Feinberg Medical School in 1996
  NPI Data:
  • NPI Number: 1629046297
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 11/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2466436928
  • Enrollment ID: I20040614001424

Medical Identifiers

Medical identifiers for Carol D King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629046297NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301068425 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northern Home CareHart, MIHome health agency
Munson Home CareTraverse city, MIHome health agency
Munson Healthcare Manistee HospitalManistee, MIHospital
Paul Oliver Memorial HospitalFrankfort, MIHospital
Munson Medical CenterTraverse city, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crystal Lake Clinic Pc064825901010

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. Carol D King allows following entities to bill medicare on her behalf.
Entity NameIha Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355
Entity NameCrystal Lake Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134491731
PECOS PAC ID: 0648259010
Enrollment ID: O20040802000634

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. Carol D King 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
Carol D King, MD
49650 Cherry Hill Rd, Suite 240,
Canton, MI 48187-4849

Ph: (734) 398-7880
Carol D King, MD
49650 Cherry Hill Rd, Suite 240,
Canton, MI 48187-4849

Ph: (734) 398-7880

Reviews and Comments


Family Medicine Doctors in Canton, MI

Dr. Nayantara Jnananand, M.D.
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Phone: 248-910-4123    Fax: 888-378-0244
Mary Nixon, MD
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Miguel Granados, MD
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Dr. Usman Ahmed, M.D.
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Pamela M Geppert, DO
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Dr. .sanjoy Mukerjee, M.D.
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Practice Location: 7288 N Sheldon Rd, Canton, MI 48187
Phone: 734-455-8222    Fax: 734-455-5222
Mr. Evans John Farres, D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: 6050 N Sheldon Rd, Canton, MI 48187
Phone: 734-459-5500    Fax: 734-459-4610

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.