Carly Dearth, in Crown Point, IN - Medicare Nurse Practitioner

Carly Dearth, is a medicare enrolled "Nurse Practitioner - Family" in Crown Point, Indiana. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Express Care 4 Llc and her current practice location is 5521 W Lincoln Hwy, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 769-1362.

Carly Dearth is licensed to practice in Illinois (license number 209022620) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689249294.

Contact Information

	Carly Dearth,
	5521 W Lincoln Hwy, Crown Point, IN 46307-1097
	(219) 769-1362
	Not Available

Map and Direction

Provider's Profile

Full Name	Carly Dearth
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	5521 W Lincoln Hwy, Crown Point, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carly Dearth graduated from nursing school in 2019

NPI Data:

NPI Number: 1689249294
Provider Enumeration Date: 05/25/2021
Last Update Date: 02/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9931500527
Enrollment ID: I20210702002363

Medical Identifiers

Medical identifiers for Carly Dearth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689249294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209022620 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Express Care 4 Llc	4284909615	58

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. Carly Dearth allows following entities to bill medicare on her behalf.

Entity Name	Nwi Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043596703 PECOS PAC ID: 7618142977 Enrollment ID: O20111214000990

Entity Name	Midwest Express Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942642848 PECOS PAC ID: 5193957595 Enrollment ID: O20140417002077

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. Carly Dearth 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
Carly Dearth, 7028 E 110th Ln, Crown Point, IN 46307-9433 Ph: () -	Carly Dearth, 5521 W Lincoln Hwy, Crown Point, IN 46307-1097 Ph: (219) 769-1362

Reviews and Comments

Nurse Practitioner Nurses in Crown Point, IN

Nichole Elaine Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770
James Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999
Mrs. Lydia C Buyco, ADULT NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072
Faith A Ornelas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 N Main St Ste C, Crown Point, IN 46307 Phone: 219-662-3300 Fax: 219-662-3301
Anita D Arthur, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999
Mrs. Josefina Estrada Offredo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072
Jennifer Lee Virgl, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897

Carly Dearth, - Medicare Nurse Practitioner in Crown Point, IN