| Dr Kevin R Carter, DO | |
|
50 N Perry St, Pontiac, MI 48342-2217 | |
| (248) 338-5604 | |
| Not Available |
| Full Name | Dr Kevin R Carter |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 50 N Perry St, Pontiac, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659422749 | NPI | - | NPPES |
| 1659422749 | Medicaid | MI | |
| CA3518 | Other | MI | MEDICARE RR GROUP PIN / PALMETO GBA |
| 300F361250 | Other | MI | BCBS OF MI GROUP |
| P00737290 | Other | MI | RRMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101015589 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Oakland | Pontiac, MI | Hospital |
| Mclaren Lapeer Region | Lapeer, MI | Hospital |
| Mclaren Bay Region | Bay city, MI | Hospital |
| Hills & Dales General Hospital | Cass city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Oakland North Macomb Imaging Inc | 3476526963 | 4 |
| Mclaren Medical Group | 3971416082 | 314 |
| Omg 1pc | 4183536238 | 17 |
| Kellam And Associates Pc | 6204830649 | 14 |
| Southfield Rehabilitation Company | 6709872617 | 5 |
| Thumb Radiology Pc | 8527587385 | 4 |
| Entity Name | Omg 1pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891737466 PECOS PAC ID: 4183536238 Enrollment ID: O20031105000645 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | North Oakland North Macomb Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407842586 PECOS PAC ID: 3476526963 Enrollment ID: O20040813000422 |
| Entity Name | Southfield Rehabilitation Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790785095 PECOS PAC ID: 6709872617 Enrollment ID: O20060414000038 |
| Entity Name | Kellam & Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366472029 PECOS PAC ID: 6204830649 Enrollment ID: O20060828000091 |
| Entity Name | Thumb Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235937913 PECOS PAC ID: 8527587385 Enrollment ID: O20250523002058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin R Carter, DO 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (562) 499-6191 | Dr Kevin R Carter, DO 50 N Perry St, Pontiac, MI 48342-2217 Ph: (248) 338-5604 |
Dr. Henry Huy Khanh Nguyen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3266 | |
Dr. Jonathan Gupta, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Larry L Kestin, Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Fulton St, Pontiac, MI 48341 Phone: 248-338-0300 Fax: 248-338-0663 | |
Juan Romano Rivera, MD Radiology Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Michael I Ghilezan, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Fulton St, Pontiac, MI 48341 Phone: 248-338-0300 Fax: 248-338-0663 | |
Dr. Elizabeth Popovski, M.D. M.SC. Radiology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Adam Bruderick, DO Radiology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 248-858-6273 |