Carly Mashburn, CRNP in Gadsden, AL - Medicare Nurse Practitioner

Carly Mashburn, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Gadsden, Alabama. Her current practice location is 1007 Goodyear Ave, Gadsden, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 494-4661.

Carly Mashburn is licensed to practice in Alabama (license number 1-157931) 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 1699404111.

Contact Information

	Carly Mashburn, CRNP
	1007 Goodyear Ave, Gadsden, AL 35903-1195
	(256) 494-4661
	Not Available

Map and Direction

Provider's Profile

Full Name	Carly Mashburn
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1007 Goodyear Ave, Gadsden, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699404111
Provider Enumeration Date: 06/09/2022
Last Update Date: 06/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0648617605
Enrollment ID: I20240326002242

Medical Identifiers

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

Identifier	Type	State	Issuer
1699404111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-157931 (Alabama)	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 Mashburn allows following entities to bill medicare on her behalf.

Entity Name	Gadsden Regional Physician Group Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558506550 PECOS PAC ID: 1254497670 Enrollment ID: O20090309000585

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 Mashburn 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 Mashburn, CRNP 300 Medical Center Dr Ste 200, Gadsden, AL 35903-1103 Ph: () -	Carly Mashburn, CRNP 1007 Goodyear Ave, Gadsden, AL 35903-1195 Ph: (256) 494-4661

Reviews and Comments

Nurse Practitioner Nurses in Gadsden, AL

Caroline F Sullivan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1409 Springfield Ave, Gadsden, AL 35903 Phone: 256-439-6383
Ms. Mary Ellen Burgess-parker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Rainbow Dr, Gadsden, AL 35901 Phone: 256-543-9497 Fax: 256-543-1343
Jessica Duvall, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 S 3rd St Ste D, Gadsden, AL 35901 Phone: 256-438-5107
Mrs. Tracy Calhoun, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Buckingham Pl, Gadsden, AL 35904 Phone: 256-295-0057
Mrs. Tiffany Lauren Sweatt, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Bay St, Gadsden, AL 35901 Phone: 256-543-2894 Fax: 256-543-8185
Heather Walker Howell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1956 Rainbow Dr, Gadsden, AL 35901 Phone: 256-438-5839
Mrs. Connie Payongayong Morales, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 427 S 3rd St, Gadsden, AL 35901 Phone: 256-543-3508

Carly Mashburn, CRNP - Medicare Nurse Practitioner in Gadsden, AL