Carlton Ralph Daniel Iii, MD - Medicare Dermatology in Jackson, MS

Carlton Ralph Daniel Iii, MD is a medicare enrolled "Dermatology" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 971 Lakeland Dr, 659, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 362-8514.

Carlton Ralph Daniel Iii is licensed to practice in Mississippi (license number 7976) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639104904.

Contact Information

Carlton Ralph Daniel Iii, MD
971 Lakeland Dr, 659,
Jackson, MS 39216-4609
(601) 362-8514
(601) 366-7621

Map and Direction




Physician's Profile

Full NameCarlton Ralph Daniel Iii
GenderMale
SpecialityDermatology
Experience47 Years
Location971 Lakeland Dr, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carlton Ralph Daniel Iii attended and graduated from University Of Mississippi School Of Medicine in 1977
  NPI Data:
  • NPI Number: 1639104904
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2264511468
  • Enrollment ID: I20080429000668

Medical Identifiers

Medical identifiers for Carlton Ralph Daniel Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639104904NPI-NPPES
00019627MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 7976 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804

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. Carlton Ralph Daniel Iii allows following entities to bill medicare on his behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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 Ralph Daniel Iii 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
Carlton Ralph Daniel Iii, MD
971 Lakeland Dr, 659,
Jackson, MS 39216-4609

Ph: (601) 362-8514
Carlton Ralph Daniel Iii, MD
971 Lakeland Dr, 659,
Jackson, MS 39216-4609

Ph: (601) 362-8514

Reviews and Comments


Dermatology Doctors in Jackson, MS

Julie P Wyatt, MD
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Phone: 601-982-5441    Fax: 601-982-5442
Kimberley Helen Morine Ward, MD
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Dr. Ashton Davis, MD
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Chemene Quinn, MD
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Dr. Ashley Nicole Emerson, M.D.
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Practice Location: 1675 Lakeland Dr Ste 200, Jackson, MS 39216
Phone: 601-589-1810    
Dr. Robert T Brodell, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 North State Street, Jackson, MS 39216
Phone: 601-815-3374    

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.

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