Ernesto Carlos, MD in Fort Defiance, AZ

Ernesto Carlos, MD is a medicare enrolled "Pediatrics" physician in Fort Defiance, Arizona. His current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8000.

Ernesto Carlos is licensed to practice in California (license number A45611) 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 1619044559.

Contact Information

	Ernesto Carlos, MD
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Ernesto Carlos
Gender	Male
Speciality	Pediatrics
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619044559
Provider Enumeration Date: 11/29/2006
Last Update Date: 06/05/2019

Medicare PECOS Information:

PECOS PAC ID: 9830384551
Enrollment ID: I20161214002091

Medical Identifiers

Medical identifiers for Ernesto Carlos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619044559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A45611 (California)	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. Ernesto Carlos allows following entities to bill medicare on his behalf.

Entity Name	The Fort Defiance Indian Hospital Board, Incorporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153

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. Ernesto Carlos 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
Ernesto Carlos, MD Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000	Ernesto Carlos, MD Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000

Reviews and Comments

Pediatrics Doctors in Fort Defiance, AZ

Santosh Bandugula Reddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8713
Junko Nakai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Corner Of Route 7 And Route 12, Fort Defiance, AZ 86504 Phone: 928-729-8000
Gail Stotsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Douglas Henry Esposito, MD, MPH, FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Corner N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8019
Paul D Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Corner Of N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Sarah Rose Wheatley Hartnett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Corner Of N12 And N7, Fort Defiance Indian Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8000
John Michael Lambert, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Navajo Route N12 And N7, Fdih Tsehootsooi Medical Center Navajo Nation, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8269

Ernesto Carlos, MD - Medicare Pediatrics in Fort Defiance, AZ