Kelly Duane Carter, MD | |
619 N Cove Blvd, Panama City, FL 32401-3642 | |
(850) 804-3870 | |
Not Available |
Full Name | Kelly Duane Carter |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 619 N Cove Blvd, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124123195 | NPI | - | NPPES |
000035556 | Medicaid | AL | |
C54560 | Medicaid | CA | |
35556 | Other | AL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C54560 (California) | Secondary |
208000000X | Pediatrics | ME149464 (Florida) | Primary |
208000000X | Pediatrics | 20711 (Alabama) | Secondary |
Entity Name | Enloe Medical Center |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20140401001696 |
Mailing Address | Practice Location Address |
---|---|
Kelly Duane Carter, MD 619 N Cove Blvd, Panama City, FL 32401-3642 Ph: (850) 804-3870 | Kelly Duane Carter, MD 619 N Cove Blvd, Panama City, FL 32401-3642 Ph: (850) 804-3870 |
Dr. Mohammed Yahia Abdul-rahim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 W 19th St, Panama City, FL 32405 Phone: 850-872-0021 Fax: 850-872-0553 | |
Ingrid J Rachesky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2550 Jenks Ave, Panama City, FL 32405 Phone: 850-769-1481 Fax: 850-763-2435 | |
Dr. Ahmed Elsayed Rezk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Forest Park Cir, Panama City, FL 32405 Phone: 850-257-5524 Fax: 850-257-5638 | |
Ahmad Alkilani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Forest Park Cir, Panama City, FL 32405 Phone: 850-257-5524 Fax: 850-257-5638 | |
Dr. Alicia Helena Rodriguez Garcia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-804-3870 Fax: 850-804-3871 | |
Dr. Thomas Richard Hermann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 449 W 23rd St, Panama City, FL 32405 Phone: 850-747-7903 Fax: 850-747-7156 |