Charles Jackie Carpenter Jr, MD in Dothan, AL

Charles Jackie Carpenter Jr, MD is a medicare enrolled "Surgery" physician in Dothan, Alabama. He went to University Of Alabama School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Wiregrass Clinic Llc and his current practice location is 4300 W Main St Ste 21, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 793-9564.

Charles Jackie Carpenter Jr is licensed to practice in Alabama (license number 17706) 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 1073508404.

Contact Information

	Charles Jackie Carpenter Jr, MD
	4300 W Main St Ste 21, Dothan, AL 36305-1058
	(334) 793-9564
	(334) 671-8907

Map and Direction

Physician's Profile

Full Name	Charles Jackie Carpenter Jr
Gender	Male
Speciality	General Surgery
Experience	32 Years
Location	4300 W Main St Ste 21, Dothan, Alabama
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:

Charles Jackie Carpenter Jr attended and graduated from University Of Alabama School Of Medicine in 1992

NPI Data:

NPI Number: 1073508404
Provider Enumeration Date: 09/12/2005
Last Update Date: 03/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9133204969
Enrollment ID: I20120118000726

Medical Identifiers

Medical identifiers for Charles Jackie Carpenter Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073508404	NPI	-	NPPES
000032574	Medicaid	AL
1073508404	Other		NPI
00801743A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	17706 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Flowers Hospital	Dothan, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wiregrass Clinic Llc	2860662491	43

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. Charles Jackie Carpenter Jr allows following entities to bill medicare on his behalf.

Entity Name	Wiregrass Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558657890 PECOS PAC ID: 2860662491 Enrollment ID: O20110908002136

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. Charles Jackie Carpenter Jr 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
Charles Jackie Carpenter Jr, MD Po Box 6599, Dothan, AL 36302-6599 Ph: (334) 699-7900	Charles Jackie Carpenter Jr, MD 4300 W Main St Ste 21, Dothan, AL 36305-1058 Ph: (334) 793-9564

Reviews and Comments

Surgery Doctors in Dothan, AL

Dr. Bryant Fleming Williams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1118 Ross Clark Cr, Suite 500, Dothan, AL 36301 Phone: 334-794-4159 Fax: 334-792-7019
Emily Elizabeth Cannon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St, Ste 24, Dothan, AL 36305 Phone: 334-793-1534 Fax: 334-793-6840
Bradley Tyler Marker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St, Suite 24, Dothan, AL 36305 Phone: 334-793-1534 Fax: 334-793-6840
Jeffrey Bray Whitehurst, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 112 Haven Drive, Suite 1, Dothan, AL 36301 Phone: 334-671-5050 Fax: 334-671-5070
Dr. Timothy Ryan Pflugner, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248
Abdelsalam Osman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8111

Charles Jackie Carpenter Jr, MD - Medicare General Surgery in Dothan, AL