Garry M Carbone, MD - Medicare Internal Medicine in Lehighton, PA

Garry M Carbone, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Lehighton, Pennsylvania. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 281 N 12th St Ste C, Lehighton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 379-4740.

Garry M Carbone is licensed to practice in Pennsylvania (license number MD043165L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578512299.

Contact Information

Garry M Carbone, MD
281 N 12th St Ste C,
Lehighton, PA 18235-1101
(610) 379-4740
(610) 379-4745

Map and Direction




Physician's Profile

Full NameGarry M Carbone
GenderMale
SpecialityInternal Medicine
Experience33 Years
Location281 N 12th St Ste C, Lehighton, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Garry M Carbone graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1578512299
  • Provider Enumeration Date: 05/09/2006
  • Last Update Date: 02/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254245657
  • Enrollment ID: I20050311000371

Medical Identifiers

Medical identifiers for Garry M Carbone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578512299NPI-NPPES
0012379820008MedicaidPA
02867700OtherPACAPITAL BLUE CROSS
710518OtherPAHIGHMARK BLUE SHIELD
110108413OtherPAPALMETTO GBA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology MD043165L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lifespring In Home Care Of Eastern PaWhitehall, PAHome health agency
Bayada Home Health Care, Inc.Bethlehem, PAHome health agency
Ascend HospiceFort washington, PAHospice
St Luke's HospiceBethlehem, PAHospice
St Luke's Hospital BethlehemBethlehem, PAHospital
St Luke's Miners Memorial HospitalCoaldale, PAHospital
Reading HospitalWest reading, PAHospital

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. Garry M Carbone allows following entities to bill medicare on his behalf.
Entity NameGarry M Carbone Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679693857
PECOS PAC ID: 0143608927
Enrollment ID: O20220607002058

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. Garry M Carbone 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
Garry M Carbone, MD
281 N 12th St Ste C,
Lehighton, PA 18235-1101

Ph: (610) 379-4740
Garry M Carbone, MD
281 N 12th St Ste C,
Lehighton, PA 18235-1101

Ph: (610) 379-4740

Reviews and Comments


Internal Medicine Doctors in Lehighton, PA

Dr. Hasan Bayat, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 211 N 12th St, Lehighton, PA 18235
Phone: 610-377-7174    Fax: 610-377-4785
Dr. Tatyana Pankratova, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2128 Blakeslee Boulevard Dr E, Lehighton, PA 18235
Phone: 610-402-5369    
Dr. Harry T Berger, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 281 N 12th St, Suite B, Lehighton, PA 18235
Phone: 610-377-7793    Fax: 610-377-9241
Dr. Todd Richard Banning, D.O.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1241 Blakeslee Boulevard Dr E, Lehighton, PA 18235
Phone: 570-386-6900    Fax: 570-386-6901
Andrew E Schwartz, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 204 State Rd, Lehighton, PA 18235
Phone: 610-379-0443    Fax: 610-379-4725
Robert A Durako, DO
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Mahoning St, Lehighton, PA 18235
Phone: 610-379-0200    Fax: 610-379-0216
William M Markson, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1241 Blakeslee Boulevard Dr E, Lehighton, PA 18235
Phone: 570-386-6900    Fax: 570-386-6901

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.