Carli Madison Gastley, PMHNP-BC in Charlotte, NC

Carli Madison Gastley, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Charlotte, North Carolina. Her current practice location is 5970 Fairview Rd Ste 430, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 503-9884.

Carli Madison Gastley is licensed to practice in North Carolina (license number 2023126515) 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 1548942212.

Contact Information

	Carli Madison Gastley, PMHNP-BC
	5970 Fairview Rd Ste 430, Charlotte, NC 28210-3117
	(704) 503-9884
	Not Available

Map and Direction

Provider's Profile

Full Name	Carli Madison Gastley
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5970 Fairview Rd Ste 430, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548942212
Provider Enumeration Date: 08/02/2023
Last Update Date: 10/07/2024

Medicare PECOS Information:

PECOS PAC ID: 3779939699
Enrollment ID: I20231030002151

Medical Identifiers

Medical identifiers for Carli Madison Gastley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548942212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	266186 (Tennessee)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5018689 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2023126515 (North Carolina)	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. Carli Madison Gastley allows following entities to bill medicare on her behalf.

Entity Name	Psychiatric Services Of Carolinas, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710012174 PECOS PAC ID: 7315040458 Enrollment ID: O20070312000082

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. Carli Madison Gastley 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
Carli Madison Gastley, PMHNP-BC 5970 Fairview Rd Ste 430, Charlotte, NC 28210-3117 Ph: (704) 503-9884	Carli Madison Gastley, PMHNP-BC 5970 Fairview Rd Ste 430, Charlotte, NC 28210-3117 Ph: (704) 503-9884

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
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Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Carli Madison Gastley, PMHNP-BC - Medicare Nurse Practitioner in Charlotte, NC