Jennifer Carlton, D.O.
Individual provider Active NPI Family Medicine Physician · Washington, MI
NPI 1003233453 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1003233453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101021343 (MI)
- Practice address
- 64580 Van Dyke Rd Ste C
Washington, MI 48095-2811 - Phone
- (586) 752-9629
- NPI assigned
- Mar 24, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Cornerstone Medical Group
Practice addresses (Care Compare)
64580 Van Dyke Rd
Suite C
Washington, MI 48095-2811
Phone (586) 752-9629
Hospital & facility affiliations
- Residential Home Health and Hospice
- Henry Ford Health St John Hospital
- Henry Ford Macomb Hospital
- Beaumont Hospital, Troy
- McLaren Lapeer Region
- Ascension Providence Rochester Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170510001072 | MI | Practitioner - Family Practice | 5092037515 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101021343 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Cornerstone Medical Group | Family Medicine | Current |
Accepting new patients |
Locations
4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483
Interoperability endpoints
- jennifer.carlton.1@8209.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101021343 | MI | Yes |
Addresses
Primary practice location
64580 Van Dyke Rd Ste C
Washington, MI 48095-2811
Mailing address
64580 Van Dyke Rd Ste C
Washington, MI 48095-2811
Phone (586) 752-9629
Other practice location 1
15855 19 Mile Rd
Clinton Twp, MI 48038-3504
Phone (586) 263-2300
Other names
- Dr. Jennifer Willner
Other providers in Washington, MI
- Brett W Butler
- Dayna Calka
- Holly Campbell
- Rachelle Kristen Campbell
- Bruce Edward Carl
- Maria L Cejmer
- Rosie Maxine Chapman
- Kim Bernard Chronis
- Joann Louise Coleman
- Conibear Counseling, PLLC
All providers in Washington, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.