Dr Ian Carroll, PHD is a medicare enrolled "Psychologist - Clinical" provider in New York, New York. His current practice location is
462 1st Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 562-4141.
Dr Ian Carroll is licensed to practice in New York (license number 025261) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033637319.
Healthcare Provider's Profile
Full Name | Dr Ian Carroll |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 462 1st Ave, New York, New York |
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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: 1033637319
- Provider Enumeration Date: 09/06/2017
- Last Update Date: 10/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901241314
- Enrollment ID: I20240226000968
Medical Identifiers
Medical identifiers for Dr Ian Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033637319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 025261 (New York) | Primary |
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. Dr Ian 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 |
Dr Ian Carroll, PHD 462 1st Ave, New York, NY 10016-9196 Ph: () - | Dr Ian Carroll, PHD 462 1st Ave, New York, NY 10016-9196 Ph: (212) 562-4141 |
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