John W Carlisle, MD is a
Dermatology physician based in Lewiston, Idaho. John W Carlisle is licensed to practice in Idaho (license number MD8169) and his current practice location is 2315 8th St, Lewiston, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 746-1383.
NPI number for John W Carlisle is 1538242318 and his current mailing address is 2315 8th St, Lewiston, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538242318.
Physician's Profile
| Full Name | John W Carlisle |
|---|
| Gender | Male |
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| Speciality | Dermatology |
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| Location | 2315 8th St, Lewiston, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538242318
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for John W Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538242318 | NPI | - | NPPES |
| 8147845 | Medicaid | WA | |
| 145739 | Other | WA | WA LABOR & INDUSTRIES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | MD8169 (Idaho) | Primary |
| 207N00000X | Dermatology | MD00012692 (Washington) | Secondary |
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. John W Carlisle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John W Carlisle, MD
2315 8th St,
Lewiston, ID 83501-7301
Ph: (208) 746-1383 | John W Carlisle, MD
2315 8th St,
Lewiston, ID 83501-7301
Ph: (208) 746-1383 |
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