| Dr Charles Incognito Carino, DO | |
|
5450 Fort St, Trenton, MI 48183-4601 | |
| (816) 304-1573 | |
| Not Available |
| Full Name | Dr Charles Incognito Carino |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5450 Fort St, Trenton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033366513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5315037145 (Michigan) | Primary |
| Entity Name | Midwest Division - Lrhc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639362460 PECOS PAC ID: 0941119150 Enrollment ID: O20031105000738 |
| Entity Name | Saint Luke's Hospital Of Trenton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841274057 PECOS PAC ID: 3971495532 Enrollment ID: O20040327000339 |
| Entity Name | Saint Lukes Hospital Of Chillicothe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245433127 PECOS PAC ID: 0143130393 Enrollment ID: O20041014000548 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Entity Name | Emergency Medicine Services Of Mo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023715182 PECOS PAC ID: 1951766559 Enrollment ID: O20230710001430 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Incognito Carino, DO 76 W Adams Ave, 1604, Detroit, MI 48226-1617 Ph: (816) 304-1573 | Dr Charles Incognito Carino, DO 5450 Fort St, Trenton, MI 48183-4601 Ph: (816) 304-1573 |
Dr. David Malicke, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Emergency Medicine Department, Trenton, MI 48183 Phone: 734-671-3883 Fax: 734-671-3546 | |
Paul Kennedy Perry, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Esli Gollapalli, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Oakwood Southshore Medical Center, 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Dr. Jonathan Blair Leischner, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Dr. Matthew James Thomas, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Joshua Martin Smith, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-642-2380 |