| Carlton Dicarlo, PA | |
|
1302 River St, Palatka, FL 32177-5042 | |
| (386) 328-8371 | |
| (386) 325-1086 |
| Full Name | Carlton Dicarlo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 39 Years |
| Location | 1302 River St, Palatka, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962473389 | NPI | - | NPPES |
| 290235400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2025 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Putnam Hospital | Palatka, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Care Incorporated | 7214849520 | 29 |
| Entity Name | Rural Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlton Dicarlo, PA 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-8371 | Carlton Dicarlo, PA 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-8371 |
Mr. Mark Salvatore Ritchie, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 |
John Graham Charles, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 Zeagler Dr, Suite 8, Palatka, FL 32177 Phone: 386-328-4242 Fax: 386-328-4244 |
Mark Elliott, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Highway 20 West, Palatka, FL 32177 Phone: 352-347-7920 |
Gregory Lyle Jungenberg, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-328-1519 |
Mr. Indrajit Verma, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-326-7342 Fax: 386-325-1086 |
Kylie Mariah Boogaard, Physician Assistant Medicare: Medicare Enrolled Practice Location: 414 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-4123 |