Brian Carroll, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hayden, Idaho. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Associates, Ps and his current practice location is
8552 N Government Way, Hayden, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 772-7600.
Brian Carroll is licensed to practice in Idaho (license number 57988) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417449810.
Provider's Profile
| Full Name | Brian Carroll |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 6 Years |
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| Location | 8552 N Government Way, Hayden, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brian Carroll graduated from nursing school in 2018
NPI Data:
- NPI Number: 1417449810
- Provider Enumeration Date: 05/31/2018
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800140781
- Enrollment ID: I20181112002211
Medical Identifiers
Medical identifiers for Brian Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417449810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WS0200X | Registered Nurse - School | RN60272088 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60872413 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 57988 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Anesthesia Associates, Ps | 7214823657 | 62 |
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. Brian Carroll allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Associates, Ps |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831143254
PECOS PAC ID: 7214823657
Enrollment ID: O20040224000439 |
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| Entity Name | Providence Health & Service- Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508118555
PECOS PAC ID: 0840279758
Enrollment ID: O20090717000201 |
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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. Brian 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 |
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Brian Carroll,
8552 N Government Way,
Hayden, ID 83835-9280
Ph: (208) 772-7600 | Brian Carroll,
8552 N Government Way,
Hayden, ID 83835-9280
Ph: (208) 772-7600 |
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