Dr Salvatore Paul Carbonaro Jr, MS LCDC PSYD is a medicare enrolled "Counselor - Mental Health" provider in Leavenworth, Kansas. His current practice location is
500 Limit St, Leavenworth, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 682-5118.
Dr Salvatore Paul Carbonaro Jr is licensed to practice in Kansas (license number TLMLP2853) 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 1194202028.
Healthcare Provider's Profile
| Full Name | Dr Salvatore Paul Carbonaro Jr |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 500 Limit St, Leavenworth, Kansas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1194202028
- Provider Enumeration Date: 07/24/2018
- Last Update Date: 02/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739552829
- Enrollment ID: I20230311000336
Medical Identifiers
Medical identifiers for Dr Salvatore Paul Carbonaro Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194202028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 38815 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | TLMLP2853 (Kansas) | 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 Salvatore Paul Carbonaro Jr allows following entities to bill medicare on his behalf.
| Entity Name | Kelsey-seybold Medical Group, Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1013915255
PECOS PAC ID: 9739093527
Enrollment ID: O20031117000204 |
|---|
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 Salvatore Paul Carbonaro Jr 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 |
|---|
Dr Salvatore Paul Carbonaro Jr, MS LCDC PSYD
11511 Shadow Creek Pkwy,
Pearland, TX 77584-7298
Ph: (713) 442-0000 | Dr Salvatore Paul Carbonaro Jr, MS LCDC PSYD
500 Limit St,
Leavenworth, KS 66048-4435
Ph: (913) 682-5118 |
Reviews and Comments