Dr Carlos Marchena, MD - Medicare Internal Medicine in Bay City, MI

Dr Carlos Marchena, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Bay City, Michigan. His current practice location is 3170 S Professional Dr, Bay City, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 667-8872.

Dr Carlos Marchena is licensed to practice in Michigan (license number CM040033) 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 1548374788.

Contact Information

Dr Carlos Marchena, MD
3170 S Professional Dr,
Bay City, MI 48706
(989) 667-8872
(989) 686-8514

Map and Direction




Physician's Profile

Full NameDr Carlos Marchena
GenderMale
SpecialityInternal Medicine - Nephrology
Location3170 S Professional Dr, Bay City, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548374788
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1355388083
  • Enrollment ID: I20050414000237

Medical Identifiers

Medical identifiers for Dr Carlos Marchena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548374788NPI-NPPES
303750MedicaidMI
P41306OtherMIBLUE CARE NETWORK
0090010OtherMIBLUE CROSS BLUE SHIELD MI
XX27323OtherMIHEALTHPLUS OF MI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology CM040033 (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. Dr Carlos Marchena allows following entities to bill medicare on his behalf.
Entity NameDialysis And Nephrology Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104891159
PECOS PAC ID: 3678510401
Enrollment ID: O20050413000874

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. Dr Carlos Marchena 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
Dr Carlos Marchena, MD
2464 Wexford Dr,
Troy, MI 48084-2712

Ph: (248) 703-0995
Dr Carlos Marchena, MD
3170 S Professional Dr,
Bay City, MI 48706

Ph: (989) 667-8872

Reviews and Comments


Internal Medicine Doctors in Bay City, MI

John A Howland, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2110 16th St, Bay City, MI 48708
Phone: 989-892-1231    Fax: 989-892-1881
Marvin R Keeling, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 1484 Straits Dr Ste 5, Bay City, MI 48706
Phone: 989-667-8740    Fax: 989-667-8745
Dr. Algimantas P Maciulis, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 200 S. Wenona St, Suite 260, Bay City, MI 48706
Phone: 989-894-6040    Fax: 989-892-3983
Dr. Lakshmi Arekapudi, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3720 Katalin Ct, Bay City, MI 48706
Phone: 989-686-2800    
Ali Soueidan, M.D
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 640 S Trumbull St, Bay City, MI 48708
Phone: 989-893-7460    Fax: 989-895-5813
Dr. Praveen Kumar Kamaraju, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3720 Katalin Court, Bay City, MI 48706
Phone: 989-686-2800    Fax: 989-686-5920
Mr. Terry J Dardas, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 714 S Trumbull, Bay City, MI 48708
Phone: 989-893-5541    Fax: 989-893-5543

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.