Mr Carlton Trent Faulk, MEDICAL DOCTOR - Medicare Dermatology in Jasper, GA

Mr Carlton Trent Faulk, MEDICAL DOCTOR is a medicare enrolled "Dermatology" physician in Jasper, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Georgia Mountain Dermatology, Llc and his current practice location is 150 Interstate South Dr, Suite 100, Jasper, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 253-3376.

Mr Carlton Trent Faulk is licensed to practice in Georgia (license number 033322) 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 1518923549.

Contact Information

Mr Carlton Trent Faulk, MEDICAL DOCTOR
150 Interstate South Dr, Suite 100,
Jasper, GA 30143
(706) 253-3376
(706) 253-3223



Physician's Profile

Full NameMr Carlton Trent Faulk
GenderMale
SpecialityDermatology
Experience35 Years
Location150 Interstate South Dr, Jasper, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Carlton Trent Faulk attended and graduated from Medical College Of Georgia School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1518923549
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 02/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4587746144
  • Enrollment ID: I20080225000692

Medical Identifiers

Medical identifiers for Mr Carlton Trent Faulk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518923549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 033322 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Mountainside Hospital IncJasper, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Georgia Mountain Dermatology, Llc69019802595

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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. Mr Carlton Trent Faulk allows following entities to bill medicare on his behalf.
Entity NameGeorgia Mountain Dermatology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043400088
PECOS PAC ID: 6901980259
Enrollment ID: O20080225000683

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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. Mr Carlton Trent Faulk 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
Mr Carlton Trent Faulk, MEDICAL DOCTOR
150 Interstate South Dr, Suite 100,
Jasper, GA 30143

Ph: (706) 253-3376
Mr Carlton Trent Faulk, MEDICAL DOCTOR
150 Interstate South Dr, Suite 100,
Jasper, GA 30143

Ph: (706) 253-3376

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Dermatology Doctors in Jasper, GA

Dr. Danielle Raffaella Lazzara, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 150 Interstate South Dr Ste 100, Jasper, GA 30143
Phone: 067-253-3376    Fax: 706-253-3376

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