Dr Dwight K Carson, MD is a medicare enrolled "Family Medicine" physician in East Cleveland, Ohio. He went to Meharry Medical College School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Town Street Medical Llc and his current practice location is
15201 Euclid Ave, East Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 541-5600.
Dr Dwight K Carson is licensed to practice in Ohio (license number 35050003) 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 1417068776.
Physician's Profile
| Full Name | Dr Dwight K Carson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 47 Years |
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| Location | 15201 Euclid Ave, East Cleveland, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Dwight K Carson attended and graduated from Meharry Medical College School Of Medicine in 1977
NPI Data:
- NPI Number: 1417068776
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688763907
- Enrollment ID: I20071210000002
Medical Identifiers
Medical identifiers for Dr Dwight K Carson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417068776 | NPI | - | NPPES |
| 0538501 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 35050003 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Town Street Medical Llc | 2567767882 | 2 |
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 Dwight K Carson allows following entities to bill medicare on his behalf.
| Entity Name | Town Street Medical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922464437
PECOS PAC ID: 2567767882
Enrollment ID: O20160224003052 |
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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. Dr Dwight K Carson 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 |
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Dr Dwight K Carson, MD
15201 Euclid Ave,
East Cleveland, OH 44112-2803
Ph: (216) 541-5600 | Dr Dwight K Carson, MD
15201 Euclid Ave,
East Cleveland, OH 44112-2803
Ph: (216) 541-5600 |
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