Dornechia Elverna George Carter, M.D.
Individual provider Active NPI Dermatology Physician · Frisco, TX
NPI 1356503544 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1356503544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- N8896 (TX)
- Practice address
- 13136 Dallas Pkwy Ste 520
Frisco, TX 75033-4247 - Phone
- (469) 480-8100
- Fax
- (469) 480-8101
- NPI assigned
- Jun 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Baylor College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13136 Dallas Pkwy
Suite 520
Frisco, TX 75033-4247
Phone (469) 480-8100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 16 |
| Removal of skin lesions | 265 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 132 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20110922000174 | TX | Practitioner - Dermatology | 8527254069 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP20029580 | TX | MD | Dermatology Physician |
| N8896 | TX | MD | Dermatology Physician |
| 54082-020 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Dermatology PLLC | Dermatology | Current |
Accepting new patients |
| Pediatric Dermatology of No. TX | Past | Accepting new patients |
Locations
13136 Dallas Pkwy
Ste 520
Frisco, TX 75033
Phone (469) 480-8100
13052 Dallas Pkwy
Ste 230
Frisco, TX 75033
Phone (214) 224-0778
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | N8896 | TX | Yes |
| Dermatology Physician | 207N00000X | 54082-020 | WI | |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | 54082-020 | WI | |
| Dermatology Physician | 207N00000X | BP20029580 | TX |
Addresses
Primary practice location
13136 Dallas Pkwy Ste 520
Frisco, TX 75033-4247
Mailing address
13136 Dallas Pkwy Ste 520
Frisco, TX 75033-4247
Phone (469) 480-8100
Other providers in Frisco, TX
- Carrollton Medical and Health Clinic PLLC
- Carrus Behavioral Hospital LLC
- Carter Counseling, PLLC
- Laura L. Carter Mitchell
- Amanda Monique Carter
- Kenny Bertlyn Carter Jr.
- Michael Andrew Carter
- Rhonda Carter
- Spencer Vaughn Carter
- Tania Carvalho
All providers in Frisco, TX · Dermatology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. 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.