Dr Carl Middleton, PHD - Medicare Psychologist in Frederick, MD

Dr Carl Middleton, PHD is a medicare enrolled "Psychologist - Clinical" provider in Frederick, Maryland. His current practice location is 186 Thomas Johnson Dr Ste 204, Frederick, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 360-5859.

Dr Carl Middleton is licensed to practice in Maryland (license number 05146) 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 1255436671.

Contact Information

Dr Carl Middleton, PHD
186 Thomas Johnson Dr Ste 204,
Frederick, MD 21702-4478
(301) 360-5859
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Carl Middleton
GenderMale
SpecialityPsychologist - Clinical
Location186 Thomas Johnson Dr Ste 204, Frederick, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255436671
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 10/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446536395
  • Enrollment ID: I20170410000145

Medical Identifiers

Medical identifiers for Dr Carl Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255436671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 05146 (Maryland)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. Dr Carl Middleton allows following entities to bill medicare on his behalf.
Entity NameMiddleton Psychology Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134579626
PECOS PAC ID: 3274910575
Enrollment ID: O20220505002254

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. Dr Carl Middleton 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
Dr Carl Middleton, PHD
186 Thomas Johnson Dr Ste 204,
Frederick, MD 21702-4478

Ph: (301) 360-5859
Dr Carl Middleton, PHD
186 Thomas Johnson Dr Ste 204,
Frederick, MD 21702-4478

Ph: (301) 360-5859

Reviews and Comments


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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).

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