Bridgette Loreen Carroll, APRN, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Shelbyville, Kentucky. Her current practice location is
865 Taylorsville Rd, Shelbyville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 437-0450.
Bridgette Loreen Carroll is licensed to practice in Kentucky (license number 3006186) 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 1598991853.
Physician's Profile
Full Name | Bridgette Loreen Carroll |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 865 Taylorsville Rd, Shelbyville, Kentucky |
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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: 1598991853
- Provider Enumeration Date: 06/01/2009
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 2365596178
- Enrollment ID: I20090813000225
Medical Identifiers
Medical identifiers for Bridgette Loreen Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598991853 | NPI | - | NPPES |
113935 | Other | KY | SIHO NICC |
000000623052 | Other | KY | ANTHEM |
3737633000 | Other | KY | PASSPORT ADVANTAGE |
50025786 | Other | KY | PASSPORT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 6186P (Kentucky) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 6186P (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 3006186 (Kentucky) | 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. Bridgette Loreen Carroll allows following entities to bill medicare on her behalf.
Entity Name | Grace Primary Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679058804 PECOS PAC ID: 6800130949 Enrollment ID: O20181130001464 |
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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. Bridgette Loreen 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 |
Bridgette Loreen Carroll, APRN, FNP-C 6210 Camden Cir, Crestwood, KY 40014-8847 Ph: (502) 724-9325 | Bridgette Loreen Carroll, APRN, FNP-C 865 Taylorsville Rd, Shelbyville, KY 40065-9124 Ph: (502) 437-0450 |
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