DR. VANESSA S. CARLO MD
NPI 1689685018
General Practice in Philadelphia, PA
- Individual
- Female
- General Practice
- Accepts Insurance
- PECOS Enrolled
About VANESSA CARLO
This page provides the complete NPI Profile along with additional information for Vanessa Carlo, a primary care provider established in Philadelphia, Pennsylvania with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1689685018 assigned on August 2006. The practitioner's primary taxonomy code is 208D00000X with license number MD426498 (PA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1689685018 Verify this NPI
- Provider Name
- DR. VANESSA S. CARLO MD
- Other Name
- VANESSA CARLO-SANTOS
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 833 CHESTNUT STREET EAST SUITE 300 PHILADELPHIA, PA 19107
- Location Phone
- (215) 861-8800
- Location Fax
- (215) 861-8815
- Mailing Address
- P.O. BOX 191 ROCKLAND, DE 19723
- Mailing Phone
- (302) 651-4000
- Mailing Fax
- (302) 651-4945
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-10-2006
- Last Update Date
- 08-30-2011
- Code Navigator
A primary care provider (PCP) like Vanessa Carlo sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD426498
- License State
- PA
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 2007014586 (MO) |
| 2 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | MD426498 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| $$$$$$$$$ | MEDICAID (05) | IL | |
| OTH00002 | MEDICARE UPIN (02) | ||
| 325780381 | MEDICARE PIN (08) | ||
| 207281700 | MEDICAID (05) | MO |
Medicare Participation & PECOS Enrollment Status
Vanessa Carlo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689685018, enumerated as an "individual" on August 10, 2006.
The provider is located at 833 CHESTNUT STREET EAST SUITE 300 PHILADELPHIA, PA 19107 and the phone number is (215) 861-8800.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: AmeriHealth Caritas Next, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
