Amanda Aleisha Carroll, AGACNP-BC in Hurricane, WV

Amanda Aleisha Carroll, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Hurricane, West Virginia. Her current practice location is 1400 Hospital Dr, Hurricane, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 757-1700.

Amanda Aleisha Carroll is licensed to practice in West Virginia (license number 111497) 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 1023741543.

Contact Information

	Amanda Aleisha Carroll, AGACNP-BC
	1400 Hospital Dr, Hurricane, WV 25526-9202
	(304) 757-1700
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Aleisha Carroll
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1400 Hospital Dr, Hurricane, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023741543
Provider Enumeration Date: 07/01/2022
Last Update Date: 07/01/2022

Medicare PECOS Information:

PECOS PAC ID: 3476911918
Enrollment ID: I20230615001676

Medical Identifiers

Medical identifiers for Amanda Aleisha Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023741543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	111497 (West Virginia)	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. Amanda Aleisha Carroll allows following entities to bill medicare on her behalf.

Entity Name	Charleston Area Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426

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. Amanda Aleisha 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
Amanda Aleisha Carroll, AGACNP-BC 817 N Hills Dr, Charleston, WV 25387-1229 Ph: (304) 542-8321	Amanda Aleisha Carroll, AGACNP-BC 1400 Hospital Dr, Hurricane, WV 25526-9202 Ph: (304) 757-1700

Reviews and Comments

Nurse Practitioner Nurses in Hurricane, WV

Mark J Adkins, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3983 Teays Valley Rd Ste G1, Hurricane, WV 25526 Phone: 844-523-2273
Mrs. Lindsay Ruth Gotham, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3707 Cambridge Dr, Hurricane, WV 25526 Phone: 315-528-5588
Rachel A Conrad, CS FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 147 Willow Tree Way, Hurricane, WV 25526 Phone: 304-397-3002 Fax: 304-397-3007
Galyn Mccallister, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3738 Teays Valley Rd Ste B, Hurricane, WV 25526 Phone: 304-525-7852 Fax: 304-525-1073
Mrs. Bethany K Merritt, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3948 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-757-5747
Marie Casne, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3738 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-525-7851 Fax: 304-525-1073

Amanda Aleisha Carroll, AGACNP-BC - Medicare Nurse Practitioner in Hurricane, WV