Dr David Charles Carlisle, MD in Morgantown, WV - Medicare Micrographic Dermatologic Surgery (mds)

Dr David Charles Carlisle, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Morgantown, West Virginia. He went to West Virginia University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Mountain State Medical Specialties Pllc, Mountain State Medical Specialties Pllc and his current practice location is 165 Scott Ave, Suite 100, Morgantown, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 554-0400.

Dr David Charles Carlisle is licensed to practice in West Virginia (license number 20946) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639231087.

Contact Information

	Dr David Charles Carlisle, MD
	165 Scott Ave, Suite 100, Morgantown, WV 26508-8847
	(304) 554-0400
	(304) 554-0404

Physician's Profile

Full Name	Dr David Charles Carlisle
Gender	Male
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	23 Years
Location	165 Scott Ave, Morgantown, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr David Charles Carlisle attended and graduated from West Virginia University School Of Medicine in 2001

NPI Data:

NPI Number: 1639231087
Provider Enumeration Date: 12/14/2006
Last Update Date: 01/23/2015

Medicare PECOS Information:

PECOS PAC ID: 7012901978
Enrollment ID: I20040413000905

Medical Identifiers

Medical identifiers for Dr David Charles Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639231087	NPI	-	NPPES
1810688000	Medicaid	WV
4216662	Other	WV	MEDICARE ID - TYPE UNSPECIFIED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD436112 (Pennsylvania)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	MD436112 (Pennsylvania)	Secondary
207N00000X	Dermatology	20946 (West Virginia)	Secondary
207N00000X	Dermatology	90420 (Ohio)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	90429 (Ohio)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	90429 (Ohio)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	20946 (West Virginia)	Primary
207NS0135X	Dermatology - Procedural Dermatology	20946 (West Virginia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain State Medical Specialties Pllc	9335046754	32
Mountain State Medical Specialties Pllc	9335046754	32

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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 David Charles Carlisle allows following entities to bill medicare on his behalf.

Entity Name	Mountain State Medical Specialties Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891892097 PECOS PAC ID: 9335046754 Enrollment ID: O20040308000599

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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. Dr David Charles Carlisle 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 David Charles Carlisle, MD 125 N 6th St, Clarksburg, WV 26301-2665 Ph: (304) 624-7200	Dr David Charles Carlisle, MD 165 Scott Ave, Suite 100, Morgantown, WV 26508-8847 Ph: (304) 554-0400

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Dermatology Doctors in Morgantown, WV

Dr. Michele M Maouad, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 Suncrest Town Centre Dr Ste 115, Morgantown, WV 26505 Phone: 304-598-3888 Fax: 304-598-0564
Dr. John G. Hancox, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 165 Scott Ave, Suite 100, Morgantown, WV 26508 Phone: 304-554-0400 Fax: 304-554-0404
William Lloyd Hall, MEDICAL DOCTOR Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 Drummond Street, Morgantown, WV 26505 Phone: 304-599-5672 Fax: 304-599-5677
Mary Jean Hall, MEDICAL DOCTOR Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505 Phone: 304-599-1448 Fax: 304-598-7219
Zachary Allen Zinn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Stadium Dr Ste 3, Morgantown, WV 26506 Phone: 304-598-4865
Dr. Amy B Norton, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 165 Scott Ave, Suite 100, Morgantown, WV 26508 Phone: 304-554-0400 Fax: 304-554-0404
Dr. Kenneth F Hardy Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1311 Pineview Drive, Suite 200, Morgantown, WV 26505 Phone: 304-598-7546 Fax: 304-225-7551

Dr David Charles Carlisle, MD - Medicare Micrographic Dermatologic Surgery (mds) in Morgantown, WV

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Group Practice Association

B cells regulate obesity-associated inflammation and T2D through two specific mechanisms

Discovery of a single mutation responsible for a number of blood disorders

Cytomedix secures $13 million in registered direct offering under equity purchase agreements

New lung cancer pathways discovered using computer modeling

Medicare Reassignments

B cells regulate obesity-associated inflammation and T2D through two specific mechanisms

Discovery of a single mutation responsible for a number of blood disorders

Cytomedix secures $13 million in registered direct offering under equity purchase agreements

New lung cancer pathways discovered using computer modeling

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

B cells regulate obesity-associated inflammation and T2D through two specific mechanisms

Discovery of a single mutation responsible for a number of blood disorders

Cytomedix secures $13 million in registered direct offering under equity purchase agreements

New lung cancer pathways discovered using computer modeling

Dermatology Doctors in Morgantown, WV