Carlos Enrique Carranza, M.D.
Individual provider Active NPI General Practice Physician · Bushnell, FL
NPI 1689777955 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1689777955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- ACN1062 (FL)
- Practice address
- 212 S Florida St
Bushnell, FL 33513-6703 - Phone
- (352) 787-1600
- Fax
- (352) 793-3282
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lowell F. Clark MD PA
Practice addresses (Care Compare)
212 S Florida St
Bushnell, FL 33513-6703
Phone (352) 793-2441
Hospital & facility affiliations
- Freedom Pointe Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PR, FL
- 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 |
|---|---|---|---|---|
| I20061117000181 | PR | Practitioner - General Practice | 2062410590 | Reassigns benefits to 1 organization |
| I20240326004446 | FL | Practitioner - General Practice | 2062410590 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1062 | FL | MD | General Practice Physician |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowell F. Clark MD PA | Current |
Accepting new patients | |
| Centro Medico del Turabo Inc | General Practice | Current |
Accepting new patients |
| Centro Medico del Turabo Inc | Current |
Accepting new patients | |
| Lowell F. Clark MD PA | Current | Accepting new patients |
Locations
212 S Florida St
Bushnell, FL 33513
Phone (352) 793-2441
107 W Central Ave
Howey in the Hills, FL 34737
Phone (352) 324-0504
10840 N US Highway 301
Oxford, FL 34484
Phone (239) 332-3480
31450 Church St
Sorrento, FL 32776
Phone (352) 735-1040
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1062 | FL | Yes |
Addresses
Primary practice location
212 S Florida St
Bushnell, FL 33513-6703
Mailing address
212 S Fla St
Bushnell, FL 33513-6703
Phone (352) 793-2441
Other providers in Bushnell, FL
- Angel L. Bruno
- Bushnell Family and Cosmetic Dentistry PLLC
- Byt Enterprise LLC
- Carefirst Aco, LLC
- Judy R Carelock
- Meghan Casteel
- Denise Marie Chandler
- Clark Clinic Inc
- Clark Health LTC PA
- Clark LTC PA
All providers in Bushnell, FL · General Practice Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. 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.