Carol G Price, FNP, PMHNP in Tyler, TX - Medicare Nurse Practitioner

Carol G Price, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Family" in Tyler, Texas. Her current practice location is 3702 Pine Bluff Cir, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 521-9137.

Carol G Price is licensed to practice in Texas (license number AP120758) 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 1093091993.

Contact Information

	Carol G Price, FNP, PMHNP
	3702 Pine Bluff Cir, Tyler, TX 75707-1736
	(903) 521-9137
	Not Available

Map and Direction

Provider's Profile

Full Name	Carol G Price
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3702 Pine Bluff Cir, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093091993
Provider Enumeration Date: 10/24/2011
Last Update Date: 02/16/2023

Medicare PECOS Information:

PECOS PAC ID: 8022311307
Enrollment ID: I20160120001208

Medical Identifiers

Medical identifiers for Carol G Price such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093091993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP120758 (Texas)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP120758 (Texas)	Secondary

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. Carol G Price allows following entities to bill medicare on her behalf.

Entity Name	East Texas Medical Center Healthcare Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Carol G Price 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
Carol G Price, FNP, PMHNP 3702 Pine Bluff Cir, Tyler, TX 75707-1736 Ph: (903) 521-9137	Carol G Price, FNP, PMHNP 3702 Pine Bluff Cir, Tyler, TX 75707-1736 Ph: (903) 521-9137

Reviews and Comments

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Carol G Price, FNP, PMHNP - Medicare Nurse Practitioner in Tyler, TX