Carly Elizabeth Coelho, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Riverdale, California. Her current practice location is
3281 W Tiger Ave, Riverdale, California. You can reach out to her office (for appointments etc.) via phone at
(480) 478-5502.
Carly Elizabeth Coelho is licensed to practice in California (license number NA95001972) 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 1023689874.
Provider's Profile
Full Name | Carly Elizabeth Coelho |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 3281 W Tiger Ave, Riverdale, California |
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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: 1023689874
- Provider Enumeration Date: 07/02/2021
- Last Update Date: 02/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113390717
- Enrollment ID: I20230301002500
Medical Identifiers
Medical identifiers for Carly Elizabeth Coelho such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023689874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 95109836 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | NA95001972 (California) | 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. Carly Elizabeth Coelho allows following entities to bill medicare on her behalf.
Entity Name | Oak Creek Anesthesia Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619589512 PECOS PAC ID: 9739509407 Enrollment ID: O20201019001247 |
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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. Carly Elizabeth Coelho 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 Elizabeth Coelho, 3281 W Tiger Ave, Riverdale, CA 93656-9763 Ph: (480) 478-5502 | Carly Elizabeth Coelho, 3281 W Tiger Ave, Riverdale, CA 93656-9763 Ph: (480) 478-5502 |
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