Carole L Willson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Olyphant, Pennsylvania. Her current practice location is
503 Sunset Dr, Olyphant, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 342-7864.
Carole L Willson is licensed to practice in Pennsylvania (license number SP010401) 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 1346473030.
Provider's Profile
Full Name | Carole L Willson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 503 Sunset Dr, Olyphant, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346473030
- Provider Enumeration Date: 08/27/2009
- Last Update Date: 12/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 1355470824
- Enrollment ID: I20100520000726
Medical Identifiers
Medical identifiers for Carole L Willson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346473030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP010401 (Pennsylvania) | 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. Carole L Willson allows following entities to bill medicare on her behalf.
Entity Name | Scranton Primary Health Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801871579 PECOS PAC ID: 0941206650 Enrollment ID: O20061019000363 |
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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. Carole L Willson 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 |
Carole L Willson, CRNP 225 Penn Ave, Scranton, PA 18503-1921 Ph: (570) 342-7864 | Carole L Willson, CRNP 503 Sunset Dr, Olyphant, PA 18447-1323 Ph: (570) 342-7864 |
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