Carly Worden, NP in Kenosha, WI - Medicare Nurse Practitioner

Carly Worden, NP is a medicare enrolled "Nurse Practitioner" in Kenosha, Wisconsin. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 2707 15th Pl, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 551-2700.

Carly Worden is licensed to practice in Wisconsin (license number 10299-33) 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 1053926949.

Contact Information

	Carly Worden, NP
	2707 15th Pl, Kenosha, WI 53140-4947
	(262) 551-2700
	Not Available

Map and Direction

Provider's Profile

Full Name	Carly Worden
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2707 15th Pl, Kenosha, Wisconsin
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 Worden graduated from nursing school in 2017

NPI Data:

NPI Number: 1053926949
Provider Enumeration Date: 09/09/2020
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5193144822
Enrollment ID: I20200930001448

Medical Identifiers

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

Identifier	Type	State	Issuer
1053926949	NPI	-	NPPES
100104069	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10299-33 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	10299-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Medical Center Kenosha	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269

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 Worden allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Entity Name	Aurora Advanced Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

Entity Name	Zenith Healthcare Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043610280 PECOS PAC ID: 3476774001 Enrollment ID: O20141024001238

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 Worden 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 Worden, NP Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 551-2700	Carly Worden, NP 2707 15th Pl, Kenosha, WI 53140-4947 Ph: (262) 551-2700

Reviews and Comments

Nurse Practitioner Nurses in Kenosha, WI

Mrs. Susan H. Pergande, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6714
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-565-0044
Guadalupe Orlando Romero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4777 88th Ave, Kenosha, WI 53144 Phone: 262-605-5253 Fax: 262-605-5903
Christine Marie Foster, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142 Phone: 262-789-1191 Fax: 262-821-6180
Alejandra Moore, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314
Quentin R Kasuboski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560

Carly Worden, NP - Medicare Nurse Practitioner in Kenosha, WI