John M Carbone, MD - Medicare Family Practice in Durham, CT

John M Carbone, MD is a medicare enrolled "Family Medicine" physician in Durham, Connecticut. He went to University Of Connecticut School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mhs Primary Care, Inc and his current practice location is 6 Main St, Durham, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 349-1058.

John M Carbone is licensed to practice in Connecticut (license number 043280) 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 1366487563.

Contact Information

John M Carbone, MD
6 Main St,
Durham, CT 06422-2126
(860) 349-1058
(860) 358-8652

Map and Direction




Physician's Profile

Full NameJohn M Carbone
GenderMale
SpecialityFamily Practice
Experience22 Years
Location6 Main St, Durham, Connecticut
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:
  • John M Carbone attended and graduated from University Of Connecticut School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1366487563
  • Provider Enumeration Date: 06/19/2006
  • Last Update Date: 04/11/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9335180223
  • Enrollment ID: I20050520000596

Medical Identifiers

Medical identifiers for John M Carbone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366487563NPI-NPPES
1432806MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 043280 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Middlesex HospitalMiddletown, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mhs Primary Care, Inc4082507371143

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. John M Carbone allows following entities to bill medicare on his behalf.
Entity NameMiddlesex Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851350664
PECOS PAC ID: 5092611731
Enrollment ID: O20031216000518
Entity NameMhs Primary Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740666312
PECOS PAC ID: 4082507371
Enrollment ID: O20040202000945

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. John 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
John M Carbone, MD
28 Crescent St,
Middletown, CT 06457-3654

Ph: (860) 358-4820
John M Carbone, MD
6 Main St,
Durham, CT 06422-2126

Ph: (860) 349-1058

Reviews and Comments


Family Medicine Doctors in Durham, CT

Dr. Theodore Bruno, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12 Pleasant Ter, Durham, CT 06422
Phone: 860-888-2700    
Nazmiye Esra Hatiboglu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6 Main Street, Durham, CT 06422
Phone: 860-349-1058    Fax: 860-358-8652
Bradford W Wilkinson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6 Main St, Durham, CT 06422
Phone: 860-349-1058    Fax: 860-358-8652
Jessica Reichbind,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6 Main St, Durham, CT 06422
Phone: 860-358-5020    Fax: 860-358-8652
Marc Roy, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6 Main St, Durham, CT 06422
Phone: 603-585-0208    Fax: 860-358-8652

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.