Antonio Lazaro Carro, MD is a medicare enrolled "Family Medicine" physician in Mulvane, Kansas. His current practice location is
1004 Se Louis Dr, Mulvane, Kansas. You can reach out to his office (for appointments etc.) via phone at
(316) 777-0176.
Antonio Lazaro Carro is licensed to practice in Kansas (license number 04-21889) 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 1003825720.
Physician's Profile
| Full Name | Antonio Lazaro Carro |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1004 Se Louis Dr, Mulvane, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003825720
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 10/25/2007
Medicare PECOS Information:
- PECOS PAC ID: 6406890581
- Enrollment ID: I20050620000577
Medical Identifiers
Medical identifiers for Antonio Lazaro Carro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003825720 | NPI | - | NPPES |
| 057433 | Other | KS | BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 04-21889 (Kansas) | Primary |
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. Antonio Lazaro Carro allows following entities to bill medicare on his behalf.
| Entity Name | Family Medcenters Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285688358
PECOS PAC ID: 4688568751
Enrollment ID: O20040210000627 |
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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. Antonio Lazaro Carro 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 |
|---|
Antonio Lazaro Carro, MD
1004 Se Louis Dr,
Mulvane, KS 67110-1109
Ph: (316) 777-0176 | Antonio Lazaro Carro, MD
1004 Se Louis Dr,
Mulvane, KS 67110-1109
Ph: (316) 777-0176 |
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