Courtland Reid Carbol, MD is a medicare enrolled "General Practice" physician in Kuna, Idaho. His current practice location is
206 S Sunniva Ave, Kuna, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 406-8941.
Courtland Reid Carbol is licensed to practice in Idaho (license number M-9168) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780610071.
Physician's Profile
| Full Name | Courtland Reid Carbol |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
|---|
| Location | 206 S Sunniva Ave, Kuna, Idaho |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780610071
- Provider Enumeration Date: 06/25/2006
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698671832
- Enrollment ID: I20041204000243
Medical Identifiers
Medical identifiers for Courtland Reid Carbol such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780610071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | M9168 (Idaho) | Secondary |
| 208D00000X | General Practice | M-9168 (Idaho) | Primary |
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. Courtland Reid Carbol allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210309003127 |
|---|
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. Courtland Reid Carbol 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 |
Courtland Reid Carbol, MD 206 S Sunniva Ave, Kuna, ID 83634-5165 Ph: (208) 406-8941 | Courtland Reid Carbol, MD 206 S Sunniva Ave, Kuna, ID 83634-5165 Ph: (208) 406-8941 |
Reviews and Comments