Kelley W Carroll, MD in Atlanta, GA - Medicare Family Medicine

Kelley W Carroll, MD is a medicare enrolled "Family Medicine" physician in Atlanta, Georgia. Her current practice location is 80 Jesse Hill Jr Dr Se, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (713) 500-3500.

Kelley W Carroll is licensed to practice in Texas (license number M1040) 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 1477582062.

Contact Information

	Kelley W Carroll, MD
	80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031
	(713) 500-3500
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelley W Carroll
Gender	Female
Speciality	Family Medicine
Location	80 Jesse Hill Jr Dr Se, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477582062
Provider Enumeration Date: 07/03/2006
Last Update Date: 02/07/2019

Medicare PECOS Information:

PECOS PAC ID: 5597700039
Enrollment ID: I20050624000197

Medical Identifiers

Medical identifiers for Kelley W Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477582062	NPI	-	NPPES
8S6142	Other	TX	BCBS
173642301	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	M1040 (Texas)	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. Kelley W Carroll allows following entities to bill medicare on her behalf.

Entity Name	Ut Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268

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. Kelley W 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
Kelley W Carroll, MD 80 Jesse Hill Jr Dr Se, P O Box 26042, Atlanta, GA 30303 Ph: (713) 500-3500	Kelley W Carroll, MD 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: (713) 500-3500

Reviews and Comments

Family Medicine Doctors in Atlanta, GA

Fidelia O Osinubi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3885 Princeton Lakes Way, Suite 402, Atlanta, GA 30331 Phone: 404-349-0496 Fax: 404-349-6081
Theresa R Jacobs, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 868 York Ave Sw, Atlanta, GA 30310 Phone: 404-752-1400 Fax: 404-758-0740
David M Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 Ridge Ave Sw, Atlanta, GA 30315 Phone: 404-688-1350 Fax: 404-564-6734
Dr. Bhavi Patel Purohit, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Westview Dr Sw, Atlanta, GA 30310 Phone: 404-756-1230 Fax: 404-752-8682
Dr. Edmond Shih, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5461 Buford Hwy Ne, Atlanta, GA 30340 Phone: 770-457-5556 Fax: 770-457-7776
Zahidul Islam Chowdhury, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 N Highland Ave Ne, Suite F, Atlanta, GA 30307 Phone: 404-658-9840 Fax: 404-658-9846
Marissa Benn Lapedis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 W Peachtree St Nw Ste 200a, Atlanta, GA 30309 Phone: 404-575-2000 Fax: 404-575-2001

Kelley W Carroll, MD - Medicare Family Medicine in Atlanta, GA