Kathleen Kelly Carroll, MS, MA, APRN-BC - Medicare Counselor in Fayetteville, NC

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Kathleen Kelly Carroll, MS, MA, APRN-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Fayetteville, North Carolina. She went to University Of South Alabama College Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 805 Westmont Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 484-4061.

Kathleen Kelly Carroll is licensed to practice in North Carolina (license number 200401185) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376674010.

Contact Information

Kathleen Kelly Carroll, MS, MA, APRN-BC
805 Westmont Dr,
Fayetteville, NC 28305-4555
(910) 484-4061
(910) 485-4069

Map and Direction


Healthcare Provider's Profile

Full NameKathleen Kelly Carroll
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location805 Westmont Dr, Fayetteville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Kelly Carroll attended and graduated from University Of South Alabama College Of Medicine in 2006
  NPI Data:
  • NPI Number: 1376674010
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 05/22/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2163591967
  • Enrollment ID: I20160126000261

Medical Identifiers

Medical identifiers for Kathleen Kelly Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376674010NPI-NPPES
6113055MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 6455 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 200401185 (North Carolina)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. Kathleen Kelly Carroll allows following entities to bill medicare on her behalf.
Entity NameChristian Counseling Professionals, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598090763
PECOS PAC ID: 1052459864
Enrollment ID: O20091117000087

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. Kathleen Kelly 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 AddressPractice Location Address
Kathleen Kelly Carroll, MS, MA, APRN-BC
805 Westmont Dr,
Fayetteville, NC 28305-4555

Ph: (910) 484-4061		Kathleen Kelly Carroll, MS, MA, APRN-BC
805 Westmont Dr,
Fayetteville, NC 28305-4555

Ph: (910) 484-4061

Reviews and Comments


Nurse Practitioner in Fayetteville, NC


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.