Mrs Marla D Carlisle, PA-C in Fremont, OH - Medicare Physician Assistant

Mrs Marla D Carlisle, PA-C is a medicare enrolled "Physician Assistant - Medical" in Fremont, Ohio. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Promedica Central Physicians and her current practice location is 605 Third Avenue, Suite B, Fremont, Ohio. You can reach out to her office (for appointments etc.) via phone at (567) 201-2890.

Mrs Marla D Carlisle is licensed to practice in Ohio (license number 50.003055) 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 1316260839.

Contact Information

	Mrs Marla D Carlisle, PA-C
	605 Third Avenue, Suite B, Fremont, OH 43420
	(567) 201-2890
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Marla D Carlisle
Gender	Female
Speciality	Physician Assistant
Experience	15 Years
Location	605 Third Avenue, Suite B, Fremont, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Marla D Carlisle graduated from nursing school in 2009

NPI Data:

NPI Number: 1316260839
Provider Enumeration Date: 03/11/2010
Last Update Date: 10/07/2016

Medicare PECOS Information:

PECOS PAC ID: 4789713991
Enrollment ID: I20100526000968

Medical Identifiers

Medical identifiers for Mrs Marla D Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316260839	NPI	-	NPPES
0071368	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	5601006448 (Michigan)	Secondary
363AM0700X	Physician Assistant - Medical	50.003055 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Promedica Toledo Hospital	Toledo, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Promedica Central Physicians	2365348190	827

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. Mrs Marla D Carlisle 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
Mrs Marla D Carlisle, PA-C 605 Third Avenue, Suite B, Fremont, OH 43420 Ph: (567) 201-2890	Mrs Marla D Carlisle, PA-C 605 Third Avenue, Suite B, Fremont, OH 43420 Ph: (567) 201-2890

Reviews and Comments

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Mrs Marla D Carlisle, PA-C - Medicare Physician Assistant in Fremont, OH