Carl D Harlan Jr, DO is a
Radiology - Diagnostic Radiology physician based in Charlevoix, Michigan. Carl D Harlan Jr is licensed to practice in Michigan (license number 5101008593) and his current practice location is 14700 Lake Shore Dr, Charlevoix, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 547-4024.
NPI number for Carl D Harlan Jr is 1730147307 and his current mailing address is Po Box 1108, Ann Arbor, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730147307.
Physician's Profile
| Full Name | Carl D Harlan Jr |
|---|
| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 14700 Lake Shore Dr, Charlevoix, Michigan |
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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: 1730147307
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 05/19/2008
Medical Identifiers
Medical identifiers for Carl D Harlan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730147307 | NPI | - | NPPES |
| 300086775 | Other | MI | MEDICARE RR PIN |
| 0982318 | Other | MI | HEALTHPOLUS |
| 3450062 | Medicaid | MI | |
| 3151500034 | Other | MI | BCBS INDIVIDUAL ID |
| 300086775 | Other | MI | RR MEDICARE |
| 310A510270 | Other | MI | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101008593 (Michigan) | Primary |
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. Carl D Harlan Jr 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 |
|---|
Carl D Harlan Jr, DO
Po Box 1108,
Ann Arbor, MI 48106-1108
Ph: (231) 547-4024 | Carl D Harlan Jr, DO
14700 Lake Shore Dr,
Charlevoix, MI 49720
Ph: (231) 547-4024 |
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