James Michael Carl, DO - Medicare Pediatrics in Grand Rapids, MI

James Michael Carl, DO is a medicare enrolled "Pediatrics" physician in Grand Rapids, Michigan. His current practice location is 2488 Highridge Hills Ln. Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (816) 665-3783.

James Michael Carl is licensed to practice in Michigan (license number 5101006719) 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 1124129689.

Contact Information

James Michael Carl, DO
2488 Highridge Hills Ln. Se,
Grand Rapids, MI 49546
(816) 665-3783
Not Available

Map and Direction




Physician's Profile

Full NameJames Michael Carl
GenderMale
SpecialityPediatrics
Location2488 Highridge Hills Ln. Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124129689
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 05/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4082779020
  • Enrollment ID: I20140127001460

Medical Identifiers

Medical identifiers for James Michael Carl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124129689NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 5101006719 (Michigan)Primary
2080A0000XPediatrics - Adolescent Medicine 34345 (Missouri)Secondary

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. James Michael Carl allows following entities to bill medicare on his behalf.
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831139088
PECOS PAC ID: 6709799166
Enrollment ID: O20040102000790

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. James Michael Carl 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
James Michael Carl, DO
2488 Highridge Hills Ln. Se,
Grand Rapids, MI 49546

Ph: (816) 665-3783
James Michael Carl, DO
2488 Highridge Hills Ln. Se,
Grand Rapids, MI 49546

Ph: (816) 665-3783

Reviews and Comments


Pediatrics Doctors in Grand Rapids, MI

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Phone: 616-949-4465    Fax: 616-949-6191

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.

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