| Dr Thomas J Carter, DO, PHD | |
|
3988 W State Road 10, Wheatfield, IN 46392-9251 | |
| (219) 987-3581 | |
| (219) 987-7137 |
| Full Name | Dr Thomas J Carter |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 3988 W State Road 10, Wheatfield, Indiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649464439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02008626A (Indiana) | Primary |
| 208D00000X | General Practice | 49159 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | DR.0049159 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mt San Rafael Hospital | Trinidad, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mednow Clinics, Inc | 0042533242 | 43 |
| Trinidad Area Health Association | 2769394055 | 20 |
| Entity Name | Trinidad Area Health Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467400309 PECOS PAC ID: 2769394055 Enrollment ID: O20031111000178 |
| Entity Name | Colorado Health And Wellness, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235185547 PECOS PAC ID: 3779538400 Enrollment ID: O20050316000107 |
| Entity Name | Mednow Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669888764 PECOS PAC ID: 0042533242 Enrollment ID: O20141219000130 |
| Entity Name | Carex Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396359782 PECOS PAC ID: 7315358835 Enrollment ID: O20201204000256 |
| Entity Name | Urgent Carex Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033711015 PECOS PAC ID: 8820401078 Enrollment ID: O20210106002654 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas J Carter, DO, PHD 650 Dickinson Rd Ste Z, Chesterton, IN 46304-3387 Ph: () - | Dr Thomas J Carter, DO, PHD 3988 W State Road 10, Wheatfield, IN 46392-9251 Ph: (219) 987-3581 |
David Vanderlugt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3988 W State Road 10, Wheatfield, IN 46392 Phone: 219-987-3581 Fax: 219-987-7137 |