Thomas Carter, MD - Medicare Family Medicine in Council Bluffs, IA

Thomas Carter, MD is a medicare enrolled "Family Medicine" physician in Council Bluffs, Iowa. His current practice location is 1751 Madison Ave, Council Bluffs, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 328-8800.

Thomas Carter is licensed to practice in Iowa (license number 34282) 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 1518017508.

Contact Information

Thomas Carter, MD
1751 Madison Ave,
Council Bluffs, IA 51503-5246
(712) 328-8800
(712) 328-8461

Map and Direction




Physician's Profile

Full NameThomas Carter
GenderMale
SpecialityFamily Medicine
Location1751 Madison Ave, Council Bluffs, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518017508
  • Provider Enumeration Date: 01/11/2007
  • Last Update Date: 08/21/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6800804816
  • Enrollment ID: I20130925000601

Medical Identifiers

Medical identifiers for Thomas Carter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518017508NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34282 (Iowa)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. Thomas Carter allows following entities to bill medicare on his behalf.
Entity NameEmergency Practice Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679990733
PECOS PAC ID: 6103737390
Enrollment ID: O20140506000598

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. Thomas 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
Thomas Carter, MD
Po Box 642117,
Omaha, NE 68164-8117

Ph: (402) 717-4377
Thomas Carter, MD
1751 Madison Ave,
Council Bluffs, IA 51503-5246

Ph: (712) 328-8800

Reviews and Comments


Family Medicine Doctors in Council Bluffs, IA

Jennifer D Stone, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Edmundson Pl, Suite 310, Council Bluffs, IA 51503
Phone: 712-396-4280    Fax: 712-396-4180
Takashi Kawamitsu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Edmundson Pl, Council Bluffs, IA 51503
Phone: 712-396-4340    Fax: 712-396-4180
James Whalen, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1751 Madison Ave, Council Bluffs, IA 51503
Phone: 712-328-8800    Fax: 712-328-8461
Ethan Clay Schneider, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 933 E. Pierce St., Council Bluffs, IA 51503
Phone: 712-396-4360    Fax: 712-396-7069
Mrs. Caitlin Smith Walter, APRN
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 Ridge St Ste 201, Council Bluffs, IA 51503
Phone: 712-322-5899    
Alan Fisher, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 933 E Pierce St, Council Bluffs, IA 51503
Phone: 712-396-7460    Fax: 712-396-7465
Dr. Janet Reuter, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Risen Son Blvd, Council Bluffs, IA 51503
Phone: 712-256-8600    Fax: 712-256-8599

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.