Carrie Mardula, LPC in Surprise, AZ - Medicare Counselor Provider

Carrie Mardula, LPC is a medicare enrolled "Counselor - Professional" provider in Surprise, Arizona. Her current practice location is 17404 N Javelina Dr, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 606-7994.

Carrie Mardula is licensed to practice in Arizona (license number LPC-20609) 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 1164177739.

Contact Information

	Carrie Mardula, LPC
	17404 N Javelina Dr, Surprise, AZ 85374-2955
	(623) 606-7994
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carrie Mardula
Gender	Female
Speciality	Counselor - Professional
Location	17404 N Javelina Dr, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164177739
Provider Enumeration Date: 02/13/2022
Last Update Date: 02/13/2022

Medicare PECOS Information:

PECOS PAC ID: 6204271364
Enrollment ID: I20240228002423

Medical Identifiers

Medical identifiers for Carrie Mardula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164177739	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-20609 (Arizona)	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. Carrie Mardula allows following entities to bill medicare on her behalf.

Entity Name	Emergent Mental Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568177483 PECOS PAC ID: 2769835768 Enrollment ID: O20240228002170

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. Carrie Mardula 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
Carrie Mardula, LPC 17404 N Javelina Dr, Surprise, AZ 85374-2955 Ph: () -	Carrie Mardula, LPC 17404 N Javelina Dr, Surprise, AZ 85374-2955 Ph: (623) 606-7994

Reviews and Comments

Counselor in Surprise, AZ

Jessica Frost, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 18789 N Reems Rd, Surprise, AZ 85374 Phone: 602-434-3069
Anna Miller, M.A, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 16960 W Bell Rd Ste 502, Surprise, AZ 85374 Phone: 760-498-3077
Arlen Jacob Spatz, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18789 N Reems Rd Ste 260, Surprise, AZ 85374 Phone: 480-228-8993
Angela Christian, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15282 W Brookside Ln Ste 110, Surprise, AZ 85374 Phone: 623-466-3182
Mrs. Judith Ann Langreder, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12211 W Bell Rd, 109, Surprise, AZ 85374 Phone: 623-332-6150 Fax: 623-243-6207
Bonnie Ann Den Dooven, MC, LPC, CSAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15331 W Bell Rd Ste 212, Surprise, AZ 85374 Phone: 928-231-2411 Fax: 928-231-2411
April Lain, M.ED, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15270 W Brookside Ln Ste 121, Surprise, AZ 85374 Phone: 623-432-0668

Carrie Mardula, LPC - Medicare Counselor in Surprise, AZ