Carly Mitchell, DNP, APRN, CRNA in Louisville, KY - Medicare Nurse Anesthetist, Certified Registered

Carly Mitchell, DNP, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Louisville, Kentucky. Her current practice location is 200 E Chestnut St, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 629-7444.

Carly Mitchell is licensed to practice in Kentucky (license number 3012699) 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 1114401643.

Contact Information

	Carly Mitchell, DNP, APRN, CRNA
	200 E Chestnut St, Louisville, KY 40202-1831
	(502) 629-7444
	Not Available

Map and Direction

Provider's Profile

Full Name	Carly Mitchell
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	200 E Chestnut St, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114401643
Provider Enumeration Date: 09/20/2018
Last Update Date: 09/20/2018

Medicare PECOS Information:

PECOS PAC ID: 0042562423
Enrollment ID: I20181012001403

Medical Identifiers

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

Identifier	Type	State	Issuer
1114401643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3012699 (Kentucky)	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 Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Universal Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164696282 PECOS PAC ID: 9830268341 Enrollment ID: O20080522000569

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 Mitchell 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 Mitchell, DNP, APRN, CRNA 601 S Floyd St Ste 407, Louisville, KY 40202-1837 Ph: () -	Carly Mitchell, DNP, APRN, CRNA 200 E Chestnut St, Louisville, KY 40202-1831 Ph: (502) 629-7444

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Louisville, KY

Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056

Carly Mitchell, DNP, APRN, CRNA - Medicare Nurse Anesthetist, Certified Registered in Louisville, KY