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 |
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Gender | Male |
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Speciality | General Practice |
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Location | 206 S Sunniva Ave, Kuna, Idaho |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210309003127 |
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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 |
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