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Marta J. Carleton

Radiology

Allopathic & Osteopathic Physicians

100 N Academy Ave, Danville, PA 17822-2007

PECOS Enrollment

This provider is enrolled in PECOS as MARTA CARLETON.

Based on the most recent information from CMS, provider Marta J. Carleton is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1063487841
Provider Type
Individual
Full Name
Carleton, Marta J.
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
2/23/2006
Last Updated
8/7/2020

Contact Information

Practice Location

100 N Academy Ave, Danville, PA 17822-2007

(570) 271-6301

Unlisted Fax

Mailing Location

100 N Academy Ave, Danville, PA 17822-3034

(570) 271-6144

(570) 271-6578

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License MD038190E Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 001107727	Description Medicaid	Issuer Unlisted Pennsylvania

Marta J. Carleton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Moshiri, Sara T.

Rogers, Kenneth J.

Chudow, Clara Jean

Cunningham, Ryan Kondo

Strickland, Mary L.

Patel, Rasila P.

Edelstein, Adam

Iqbal, Arbab

O'Rourke, Terence L.

Chayapruks, Thomas