Dr Nicole Elise Carden, MD is a medicare enrolled "Pediatrics" physician in Petal, Mississippi. Her current practice location is
50 Parkway Ln Ste C, Petal, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 705-0260.
Dr Nicole Elise Carden is licensed to practice in Mississippi (license number 25302) 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 1609288141.
Physician's Profile
| Full Name | Dr Nicole Elise Carden |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 50 Parkway Ln Ste C, Petal, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609288141
- Provider Enumeration Date: 06/02/2014
- Last Update Date: 05/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507180353
- Enrollment ID: I20180905002484
Medical Identifiers
Medical identifiers for Dr Nicole Elise Carden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609288141 | NPI | - | NPPES |
| 04575251 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 25302 (Mississippi) | 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. Dr Nicole Elise Carden allows following entities to bill medicare on her behalf.
| Entity Name | Hattiesburg Clinic Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685 |
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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. Dr Nicole Elise Carden 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 Nicole Elise Carden, MD
415 S 28th Ave,
Hattiesburg, MS 39401-7246
Ph: (601) 705-0260 | Dr Nicole Elise Carden, MD
50 Parkway Ln Ste C,
Petal, MS 39465-3035
Ph: (601) 705-0260 |
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