Carlton D Pittard, MD is a
General Practice physician based in Grapevine, Texas. Carlton D Pittard is licensed to practice in Texas (license number C6476) and his current practice location is 1280 S Main St Ste 106, Grapevine, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 310-0014.
NPI number for Carlton D Pittard is 1609892769 and his current mailing address is 1280 S Main St Ste 106, Grapevine, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609892769.
Physician's Profile
| Full Name | Carlton D Pittard |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1280 S Main St Ste 106, Grapevine, Texas |
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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: 1609892769
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 04/22/2010
Medical Identifiers
Medical identifiers for Carlton D Pittard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609892769 | NPI | - | NPPES |
| 102579305 | Medicaid | TX | |
| 102579304 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | C6476 (Texas) | 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. Carlton D Pittard 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 |
|---|
Carlton D Pittard, MD
1280 S Main St Ste 106,
Grapevine, TX 76051-7509
Ph: (817) 310-0014 | Carlton D Pittard, MD
1280 S Main St Ste 106,
Grapevine, TX 76051-7509
Ph: (817) 310-0014 |
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