Merle Carter, MD - Medicare Emergency Medicine in Philadelphia, PA

Merle Carter, MD is a medicare enrolled "Emergency Medicine" physician in Philadelphia, Pennsylvania. She went to Yale University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Einstein Practice Plan Inc and her current practice location is 5501 Old York Rd, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 456-6679.

Merle Carter is licensed to practice in Pennsylvania (license number MD419113) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073572319.

Contact Information

Merle Carter, MD
5501 Old York Rd,
Philadelphia, PA 19141-3091
(215) 456-6679
(215) 456-8502

Map and Direction




Physician's Profile

Full NameMerle Carter
GenderFemale
SpecialityEmergency Medicine
Experience26 Years
Location5501 Old York Rd, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Merle Carter attended and graduated from Yale University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1073572319
  • Provider Enumeration Date: 03/23/2006
  • Last Update Date: 09/30/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8729253547
  • Enrollment ID: I20111206000764

Medical Identifiers

Medical identifiers for Merle Carter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073572319NPI-NPPES
001915894MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD419113 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Einstein Medical Center MontgomeryEast norriton, PAHospital
Albert Einstein Medical CenterPhiladelphia, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Einstein Practice Plan Inc2769395896603

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. Merle Carter allows following entities to bill medicare on her behalf.
Entity NameEinstein Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760434468
PECOS PAC ID: 2769395896
Enrollment ID: O20040219000728

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. Merle Carter 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
Merle Carter, MD
101 E Olney Ave, Suite 400,
Philadelphia, PA 19120-2421

Ph: (215) 456-7000
Merle Carter, MD
5501 Old York Rd,
Philadelphia, PA 19141-3091

Ph: (215) 456-6679

Reviews and Comments


Emergency Medicine Doctors in Philadelphia, PA

Dr. Rika N Omalley, M.D.
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Phone: 215-955-6844    Fax: 215-955-2526
Rian John Pillitteri, M.D.
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Kenneth Kleckner, MD
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Phone: 215-456-6679    Fax: 215-456-8502
Dr. Shruti Chandra, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107
Phone: 215-955-6844    Fax: 215-955-2526
Ashley Bonsu,
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Practice Location: 3400 Spruce St, Philadelphia, PA 19104
Phone: 215-316-5151    
Jennifer Jie Xu, DO
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Practice Location: 10800 Knights Rd, Philadelphia, PA 19114
Phone: 215-612-5161    
Dr. Alan Barte, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141
Phone: 215-456-7890    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.