Ms Carmelia Renee Carroll, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Minot, North Dakota. Her current practice location is
2111 Landmark Cir Nw, Minot, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(919) 734-1779.
Ms Carmelia Renee Carroll is licensed to practice in North Dakota (license number R47017) 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 1871979229.
Physician's Profile
Full Name | Ms Carmelia Renee Carroll |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 2111 Landmark Cir Nw, Minot, North Dakota |
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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: 1871979229
- Provider Enumeration Date: 08/08/2015
- Last Update Date: 01/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 8426368838
- Enrollment ID: I20151113000840
Medical Identifiers
Medical identifiers for Ms Carmelia Renee Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871979229 | NPI | - | NPPES |
1871979229 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | F07151248 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | R47017 (North Dakota) | 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. Ms Carmelia Renee Carroll allows following entities to bill medicare on her behalf.
Entity Name | Eastern Medical Associates, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194762807 PECOS PAC ID: 3173414109 Enrollment ID: O20040322000237 |
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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. Ms Carmelia Renee 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 |
Ms Carmelia Renee Carroll, FNP-C Po Box 997, Bismarck, ND 58502-0997 Ph: (701) 530-7000 | Ms Carmelia Renee Carroll, FNP-C 2111 Landmark Cir Nw, Minot, ND 58703-1967 Ph: (919) 734-1779 |
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