Jack Carleton, MD in Newburgh, NY - Medicare Internal Medicine

Jack Carleton, MD is a medicare enrolled "Internal Medicine" physician in Newburgh, New York. His current practice location is 600 Stony Brook Ct, Newburgh, New York. You can reach out to his office (for appointments etc.) via phone at (845) 391-8557.

Jack Carleton is licensed to practice in New York (license number 128487) 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 1811980873.

Contact Information

	Jack Carleton, MD
	600 Stony Brook Ct, Newburgh, NY 12550-6524
	(845) 391-8557
	(845) 608-8270

Map and Direction

Physician's Profile

Full Name	Jack Carleton
Gender	Male
Speciality	Internal Medicine
Location	600 Stony Brook Ct, Newburgh, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811980873
Provider Enumeration Date: 08/25/2005
Last Update Date: 02/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8820138738
Enrollment ID: I20091224000073

Medical Identifiers

Medical identifiers for Jack Carleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811980873	NPI	-	NPPES
00874864	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	128487 (New York)	Primary

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. Jack Carleton allows following entities to bill medicare on his behalf.

Entity Name	Integrated Medical Healthcare Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861020810 PECOS PAC ID: 4880008689 Enrollment ID: O20210205000082

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. Jack Carleton 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
Jack Carleton, MD 800 Red Mills Rd, Wallkill, NY 12589-3220 Ph: (845) 744-9105	Jack Carleton, MD 600 Stony Brook Ct, Newburgh, NY 12550-6524 Ph: (845) 391-8557

Reviews and Comments

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Jack Carleton, MD - Medicare Internal Medicine in Newburgh, NY