Dr Dwight K Carson, MD is a medicare enrolled "Family Medicine" physician in East Cleveland, Ohio. His current practice location is
15201 Euclid Ave, East Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 541-5600.
Dr Dwight K Carson is licensed to practice in Ohio (license number 35050003) 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 1417068776.
Physician's Profile
| Full Name | Dr Dwight K Carson |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 15201 Euclid Ave, East Cleveland, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417068776
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688763907
- Enrollment ID: I20071210000002
Medical Identifiers
Medical identifiers for Dr Dwight K Carson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417068776 | NPI | - | NPPES |
| 0538501 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 35050003 (Ohio) | 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. Dr Dwight K Carson 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 |
Dr Dwight K Carson, MD 15201 Euclid Ave, East Cleveland, OH 44112-2803 Ph: (216) 541-5600 | Dr Dwight K Carson, MD 15201 Euclid Ave, East Cleveland, OH 44112-2803 Ph: (216) 541-5600 |
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