Harry A Carter, MD - Medicare Family Practice in Flora, IL

Harry A Carter, MD is a medicare enrolled "Family Medicine" physician in Flora, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice County Of Clay and his current practice location is 929 Stacey Burk Dr, Flora, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 662-2131.

Harry A Carter is licensed to practice in Illinois (license number 036096820) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1538165261.

Contact Information

Harry A Carter, MD
929 Stacey Burk Dr,
Flora, IL 62839-3241
(618) 662-2131
Not Available

Map and Direction




Physician's Profile

Full NameHarry A Carter
GenderMale
SpecialityFamily Practice
Experience29 Years
Location929 Stacey Burk Dr, Flora, Illinois
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Harry A Carter attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1995
  NPI Data:
  • NPI Number: 1538165261
  • Provider Enumeration Date: 06/27/2005
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244360071
  • Enrollment ID: I20100604000815

Medical Identifiers

Medical identifiers for Harry A Carter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538165261NPI-NPPES
036057125MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036096820 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clay Home Health ServicesFlora, ILHome health agency
Clay County Health DepartmentFlora, ILHospice
Clay County HospitalFlora, ILHospital
Fairfield Memorial Hospital 1Fairfield, ILHospital
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Clay004210198229

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. Harry A Carter allows following entities to bill medicare on his behalf.
Entity NameCounty Of Clay
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811946411
PECOS PAC ID: 0042101982
Enrollment ID: O20040322000969
Entity NameCounty Of Clay
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1184655136
PECOS PAC ID: 0042101982
Enrollment ID: O20180801002178

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. Harry A Carter 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
Harry A Carter, MD
2074 Bobwhite Rd,
Louisville, IL 62858-2032

Ph: (618) 599-6926
Harry A Carter, MD
929 Stacey Burk Dr,
Flora, IL 62839-3241

Ph: (618) 662-2131

Reviews and Comments


Family Medicine Doctors in Flora, IL

Brandon Cycholl,
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 929 Stacey Burk Dr, Clay County Hospital Medical Clinic, Flora, IL 62839
Phone: 618-662-2131    Fax: 618-662-3077
Mrs. Karen Louise Mcallister, APRN
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1556 N State Rd, Flora, IL 62839
Phone: 618-599-1453    

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.