Dr Gregory T Carter, MD | |
914 S Scheuber Rd, Centralia, WA 98531-9027 | |
(360) 736-2803 | |
Not Available |
Full Name | Dr Gregory T Carter |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 914 S Scheuber Rd, Centralia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073531695 | NPI | - | NPPES |
125671 | Other | WA | LABOR & INDUSTRIES |
8154155 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 31534 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory T Carter, MD 125 Camre Ln, Centralia, WA 98531-8836 Ph: (360) 330-8626 | Dr Gregory T Carter, MD 914 S Scheuber Rd, Centralia, WA 98531-9027 Ph: (360) 736-2803 |
Kevin T. Caserta, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1800 Cooks Hill Rd Ste E, Centralia, WA 98531 Phone: 360-330-8626 | |
Jonathan L Losee, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-2803 |