Mark M Carter, MD | |
4521 Shiloh Mill Blvd, Jacksonville, FL 32246-1880 | |
(904) 699-4337 | |
Not Available |
Full Name | Mark M Carter |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 42 Years |
Location | 4521 Shiloh Mill Blvd, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932128337 | NPI | - | NPPES |
061625700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD421030 (Pennsylvania) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME47719 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Borland Groover Clinic, Pa | 6507761301 | 109 |
Entity Name | Borland Groover Clinic, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881644912 PECOS PAC ID: 6507761301 Enrollment ID: O20031204000789 |
Mailing Address | Practice Location Address |
---|---|
Mark M Carter, MD 4521 Shiloh Mill Blvd, Jacksonville, FL 32246 Ph: (904) 699-4337 | Mark M Carter, MD 4521 Shiloh Mill Blvd, Jacksonville, FL 32246-1880 Ph: (904) 699-4337 |
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