Mr Michael Anthony Carnevale, DO is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Coburg, Oregon. His current practice location is
1 Serenity Ln, Coburg, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 284-5704.
Mr Michael Anthony Carnevale is licensed to practice in Oregon (license number DO153418) 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 1164425534.
Physician's Profile
| Full Name | Mr Michael Anthony Carnevale |
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| Gender | Male |
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| Speciality | Internal Medicine - Addiction Medicine |
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| Location | 1 Serenity Ln, Coburg, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164425534
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 08/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406740646
- Enrollment ID: I20110809000446
Medical Identifiers
Medical identifiers for Mr Michael Anthony Carnevale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164425534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | DO153418 (Oregon) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | DO153418 (Oregon) | 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. Mr Michael Anthony Carnevale allows following entities to bill medicare on his behalf.
| Entity Name | Peacehealth Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
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| Entity Name | Lane County Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023 |
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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. Mr Michael Anthony Carnevale 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 |
Mr Michael Anthony Carnevale, DO Po Box 24410, Eugene, OR 97402-0451 Ph: () - | Mr Michael Anthony Carnevale, DO 1 Serenity Ln, Coburg, OR 97408-9350 Ph: (541) 284-5704 |
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