Dr Carlton Wayne Herald, DO - Medicare Internal Medicine in Gallipolis, OH

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Dr Carlton Wayne Herald, DO is a medicare enrolled "Internal Medicine" physician in Gallipolis, Ohio. He went to West Virginia School Of Osteopathic Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Holzer Clinic Llc and his current practice location is 100 Jackson Pike, Gallipolis, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 446-5533.

Dr Carlton Wayne Herald is licensed to practice in Ohio (license number 34.007166) 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 1053302836.

Contact Information

Dr Carlton Wayne Herald, DO
100 Jackson Pike,
Gallipolis, OH 45631-1560
(740) 446-5533
(740) 441-3318

Map and Direction




Physician's Profile

Full NameDr Carlton Wayne Herald
GenderMale
SpecialityInternal Medicine
Experience26 Years
Location100 Jackson Pike, Gallipolis, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carlton Wayne Herald attended and graduated from West Virginia School Of Osteopathic Medicine in 1998
  NPI Data:
  • NPI Number: 1053302836
  • Provider Enumeration Date: 11/02/2005
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739087867
  • Enrollment ID: I20130424000315

Medical Identifiers

Medical identifiers for Dr Carlton Wayne Herald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053302836NPI-NPPES
2005609000MedicaidWV
2168890MedicaidOH
00427029OtherWVRR MEDICARE
64071467MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 34.007166 (Ohio)Secondary
207R00000XInternal Medicine 1984 (West Virginia)Secondary
207R00000XInternal Medicine 34.007166 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holzer Medical CenterGallipolis, OHHospital
Holzer Medical Center JacksonJackson, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holzer Clinic Llc5890606008264

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. Dr Carlton Wayne Herald allows following entities to bill medicare on his behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532
Entity NameHolzer Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817248
PECOS PAC ID: 5890606008
Enrollment ID: O20031215000746

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. Dr Carlton Wayne Herald 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
Dr Carlton Wayne Herald, DO
Po Box 1680,
Huntington, WV 25717-1680

Ph: (304) 697-1396		Dr Carlton Wayne Herald, DO
100 Jackson Pike,
Gallipolis, OH 45631-1560

Ph: (740) 446-5533

Reviews and Comments


Internal Medicine Doctors in Gallipolis, OH

Utpal K Bhanja, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 170 Jackson Pike, Gallipolis, OH 45631
Phone: 855-446-5937    Fax: 740-446-5622
Ashok K. Dayal, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 855-446-5937    Fax: 740-446-5486
Rajesh Rajan, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 855-446-5937    Fax: 740-446-5982
Ajay K. Kottapalli, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 740-446-5287    Fax: 740-446-5854
Michael J. Owens, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 740-446-5131    Fax: 740-446-5486
Rodney B. Stout, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 740-446-5763    Fax: 740-446-5573
Robert S Bradley, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Jackson Pike, Gallipolis, OH 45631
Phone: 855-446-5937    Fax: 740-446-5883

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.