Timothy Kevin Carroll, LCSW is a medicare enrolled "Social Worker - Clinical" provider in North Windham, Connecticut. He went to University Of Connecticut School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
387 Tuckie Rd, Suite D, North Windham, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 423-4279.
Timothy Kevin Carroll is licensed to practice in Connecticut (license number 003025) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841399474.
Healthcare Provider's Profile
| Full Name | Timothy Kevin Carroll |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 34 Years |
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| Location | 387 Tuckie Rd, North Windham, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timothy Kevin Carroll attended and graduated from University Of Connecticut School Of Medicine in 1990
NPI Data:
- NPI Number: 1841399474
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 10/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 2365629771
- Enrollment ID: I20111111000502
Medical Identifiers
Medical identifiers for Timothy Kevin Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841399474 | NPI | - | NPPES |
| 140003025CT01 | Other | CT | ANTHEM |
| C007612 | Other | | TRICARE |
| 142613 | Other | | VALUE OPTIONS |
| 299867 | Other | CT | MHN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 003025 (Connecticut) | 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. Timothy Kevin Carroll allows following entities to bill medicare on his behalf.
| Entity Name | Partners In Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316197965
PECOS PAC ID: 0840441861
Enrollment ID: O20121121000101 |
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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. Timothy Kevin 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 |
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Timothy Kevin Carroll, LCSW
387 Tuckie Rd, Suite D,
North Windham, CT 06256-1355
Ph: (860) 423-4279 | Timothy Kevin Carroll, LCSW
387 Tuckie Rd, Suite D,
North Windham, CT 06256-1355
Ph: (860) 423-4279 |
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