Beatrice Susan Carroll, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boise, Idaho. Her current practice location is
11513 W Fairview Ave Ste 105, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 908-7882.
Beatrice Susan Carroll is licensed to practice in Idaho (license number LCSW 1159) 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 1881730133.
Healthcare Provider's Profile
Full Name | Beatrice Susan Carroll |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 11513 W Fairview Ave Ste 105, Boise, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881730133
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 05/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355524414
- Enrollment ID: I20110328000087
Medical Identifiers
Medical identifiers for Beatrice Susan Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881730133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW 1159 (Idaho) | 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. Beatrice Susan Carroll allows following entities to bill medicare on her behalf.
Entity Name | Avanzar Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871126797 PECOS PAC ID: 1557790854 Enrollment ID: O20200408001775 |
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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. Beatrice Susan 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 |
Beatrice Susan Carroll, LCSW 1822 E Blue Tick St, Meridian, ID 83642-4546 Ph: (208) 440-7009 | Beatrice Susan Carroll, LCSW 11513 W Fairview Ave Ste 105, Boise, ID 83713-7887 Ph: (208) 908-7882 |
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