Caroline E Willingham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Signal Mountain, Tennessee. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Boulder Valley Gastroenterology Inc., Us Anesthesia Partners Of Colorado Inc and her current practice location is
4230 Peppers Ln, Signal Mountain, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(303) 746-3581.
Caroline E Willingham is licensed to practice in Tennessee (license number 19628) 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 1639575517.
Provider's Profile
| Full Name | Caroline E Willingham |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 10 Years |
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| Location | 4230 Peppers Ln, Signal Mountain, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Caroline E Willingham graduated from nursing school in 2014
NPI Data:
- NPI Number: 1639575517
- Provider Enumeration Date: 11/05/2014
- Last Update Date: 09/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 5193043412
- Enrollment ID: I20170501000363
Medical Identifiers
Medical identifiers for Caroline E Willingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639575517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 19628 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | 187163 (Tennessee) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Boulder Valley Gastroenterology Inc. | 4688577174 | 47 |
| Us Anesthesia Partners Of Colorado Inc | 6002072055 | 570 |
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. Caroline E Willingham allows following entities to bill medicare on her behalf.
| Entity Name | Boulder Valley Gastroenterology Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902832603
PECOS PAC ID: 4688577174
Enrollment ID: O20040130001035 |
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| Entity Name | Us Anesthesia Partners Of Colorado Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922365782
PECOS PAC ID: 6002072055
Enrollment ID: O20120725000032 |
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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. Caroline E Willingham 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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Caroline E Willingham, CRNA
4230 Peppers Ln,
Signal Mountain, TN 37377-1578
Ph: (303) 746-3581 | Caroline E Willingham, CRNA
4230 Peppers Ln,
Signal Mountain, TN 37377-1578
Ph: (303) 746-3581 |
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