Kacie D Carroll, in Fort Smith, AR - Medicare Counselor Provider

Kacie D Carroll, is a medicare enrolled "Counselor - Mental Health" provider in Fort Smith, Arkansas. Her current practice location is 7217 Cameron Park Dr, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 831-6007.

Kacie D Carroll is licensed to practice in Arkansas (license number P2207005) 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 1811258809.

Contact Information

	Kacie D Carroll,
	7217 Cameron Park Dr, Fort Smith, AR 72903-6167
	(479) 831-6007
	(479) 782-1242

Map and Direction

Healthcare Provider's Profile

Full Name	Kacie D Carroll
Gender	Female
Speciality	Counselor - Mental Health
Location	7217 Cameron Park Dr, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811258809
Provider Enumeration Date: 06/06/2012
Last Update Date: 05/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5294184875
Enrollment ID: I20231207002308

Medical Identifiers

Medical identifiers for Kacie D Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811258809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	P2207005 (Arkansas)	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. Kacie D Carroll allows following entities to bill medicare on her behalf.

Entity Name	Center For Psychiatric Wellness, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457733099 PECOS PAC ID: 8527373232 Enrollment ID: O20150810002166

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. Kacie D 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
Kacie D Carroll, Po Box 23070, Barling, AR 72923-0070 Ph: (479) 452-5040	Kacie D Carroll, 7217 Cameron Park Dr, Fort Smith, AR 72903-6167 Ph: (479) 831-6007

Reviews and Comments

Counselor in Fort Smith, AR

Kylia Eastman, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3811 Rogers Ave, Fort Smith, AR 72903 Phone: 479-395-1599
Ms. Dinora Morales Reyes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847
Tochie K Benard, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847
Julie Rae Moore, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 S Waldron Rd, Fort Smith, AR 72903 Phone: 479-452-5040 Fax: 479-452-5047
Tabitha Fondren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3900 Armour Ave, Fort Smith, AR 72904 Phone: 479-783-8849 Fax: 479-783-1914
Miss Kylie Nicole Carroll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5401 Rogers Ave Ste 201, Fort Smith, AR 72903 Phone: 479-242-4560 Fax: 479-242-4561
Kasey Wilson, ADC, BA, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3113 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650

Kacie D Carroll, - Medicare Counselor in Fort Smith, AR