Individual ProviderNathan CarltonPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address235 Wealthy St SE, Grand Rapids, MI 49503(616) 840-8000PECOS EnrollmentBased on the most recent information from CMS, provider Nathan Carlton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1659932895Provider TypeIndividualFull NameCarlton, NathanCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/27/2019Last Updated3/6/2024Contact InformationPractice LocationPractice Address235 Wealthy St SE, Grand Rapids, MI 49503Phone(616) 840-8000Fax(616) 840-9642Mailing LocationMailing Address235 Wealthy St SE, Grand Rapids, MI 49503-5247Phone(616) 840-8000Fax(616) 840-9642Provider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense4301509163MichiganCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4351045597Michigan