Dr Mary Shannon Carroll, AUD in Newark, NJ - Medicare Audiologist Provider

Dr Mary Shannon Carroll, AUD is a medicare enrolled "Audiologist" provider in Newark, New Jersey. Her current practice location is 140 Bergen Street, E-1680, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 972-1017.

Dr Mary Shannon Carroll is licensed to practice in New Jersey (license number 41YA00105600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508401134.

Contact Information

	Dr Mary Shannon Carroll, AUD
	140 Bergen Street, E-1680, Newark, NJ 07103
	(973) 972-1017
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mary Shannon Carroll
Gender	Female
Speciality	Audiologist
Location	140 Bergen Street, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508401134
Provider Enumeration Date: 11/07/2019
Last Update Date: 11/07/2019

Medicare PECOS Information:

PECOS PAC ID: 1052783214
Enrollment ID: I20230216000885

Medical Identifiers

Medical identifiers for Dr Mary Shannon Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508401134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	41YA00105600 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mary Shannon Carroll allows following entities to bill medicare on her behalf.

Provider Name	New York University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Shannon Carroll is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mary Shannon Carroll, AUD 1028 Laurel Trl, Martinsville, NJ 08836-2211 Ph: (908) 872-0653	Dr Mary Shannon Carroll, AUD 140 Bergen Street, E-1680, Newark, NJ 07103 Ph: (973) 972-1017

Reviews and Comments

Audiologist in Newark, NJ

Ms. Cornelia Vandervliet, MA,CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 140 Bergen St, Level E Room 1700, Newark, NJ 07103 Phone: 973-972-9500 Fax: 973-972-3923
Umdnj University Hospital Audiologist Medicare: Not Enrolled in Medicare Practice Location: 140 Bergen Street, E# 1700, Newark, NJ 07103 Phone: 973-972-0187
Dr. Nicole Madeline Raia, SC.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 140 Bergen St, E Level 1700, Newark, NJ 07103 Phone: 973-972-0187
Dr. Patricia E Connelly, PHD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 140 Bergen Street, E Level, Newark, NJ 07103 Phone: 973-972-1108 Fax: 973-972-3767
Mr. Milton Barney Brodkowitz, MS-AUDIOLOGIST Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3 Penn Plz E, Newark, NJ 07105 Phone: 973-522-1292 Fax: 973-522-1294
Mrs. Lisa Bell, M.A. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 140 Bergen St Ste 1680, Newark, NJ 07103 Phone: 973-972-0189

Dr Mary Shannon Carroll, AUD - Medicare Audiologist in Newark, NJ