Carlyn Newell, is a medicare enrolled "Clinical Nurse Specialist - Gerontology" in Olympia Fields, Illinois. Her current practice location is
3800 W 203rd St Ste 202, Olympia Fields, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 852-2699.
Carlyn Newell is licensed to practice in Illinois (license number 209025274) 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 1649998139.
Provider's Profile
| Full Name | Carlyn Newell |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Gerontology |
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| Location | 3800 W 203rd St Ste 202, Olympia Fields, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649998139
- Provider Enumeration Date: 08/19/2022
- Last Update Date: 11/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587034095
- Enrollment ID: I20221227002518
Medical Identifiers
Medical identifiers for Carlyn Newell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649998139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2200X | Clinical Nurse Specialist - Adult Health | 209025274 (Illinois) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 041388238 (Illinois) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 209025274 (Illinois) | 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. Carlyn Newell allows following entities to bill medicare on her behalf.
| Entity Name | Specialty Physicians Of Illinois Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124075676
PECOS PAC ID: 4183529456
Enrollment ID: O20031201000602 |
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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. Carlyn Newell 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 |
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Carlyn Newell,
35318 Eagle Way,
Chicago, IL 60678-1353
Ph: (317) 528-4800 | Carlyn Newell,
3800 W 203rd St Ste 202,
Olympia Fields, IL 60461-1185
Ph: (708) 852-2699 |
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