Cody Paul Carter, DO in Grand Rapids, MI - Medicare Internal Medicine

Cody Paul Carter, DO is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Grand Rapids, Michigan. His current practice location is 2900 Bradford St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 885-5000.

Cody Paul Carter is licensed to practice in Michigan (license number 5101028747) 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 1174012132.

Contact Information

	Cody Paul Carter, DO
	2900 Bradford St Ne, Grand Rapids, MI 49525-6427
	(616) 885-5000
	(616) 885-5020

Map and Direction

Physician's Profile

Full Name	Cody Paul Carter
Gender	Male
Speciality	Internal Medicine - Interventional Cardiology
Location	2900 Bradford St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174012132
Provider Enumeration Date: 05/05/2018
Last Update Date: 08/19/2025

Medicare PECOS Information:

PECOS PAC ID: 7315359684
Enrollment ID: I20201209003155

Medical Identifiers

Medical identifiers for Cody Paul Carter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174012132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	34.014756 (Ohio)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	5101028747 (Michigan)	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. Cody Paul Carter allows following entities to bill medicare on his behalf.

Entity Name	Ohiohealth Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532

Entity Name	Ohiohealth Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811207160 PECOS PAC ID: 3476733700 Enrollment ID: O20110203000715

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. Cody Paul Carter 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
Cody Paul Carter, DO 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 Ph: (616) 885-5000	Cody Paul Carter, DO 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 Ph: (616) 885-5000

Reviews and Comments

Internal Medicine Doctors in Grand Rapids, MI

Maureen Tan Pedres, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044
Jeffery Allen Woo, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071
Robert W Selfe, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585
Dr. Erin Megan Pettijohn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600
Dr. Andrew Leo Sochacki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800
Aline De Quadros Teixeira, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139
Stephanie F Williams, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489

Cody Paul Carter, DO - Medicare Internal Medicine in Grand Rapids, MI