Carolyn Amburn, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Merryville, Louisiana. Her current practice location is
3589 Highway 389, Merryville, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(409) 273-3400.
Carolyn Amburn is licensed to practice in Louisiana (license number 236297) 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 1851136766.
Provider's Profile
Full Name | Carolyn Amburn |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3589 Highway 389, Merryville, Louisiana |
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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: 1851136766
- Provider Enumeration Date: 07/01/2024
- Last Update Date: 07/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143754788
- Enrollment ID: I20241105003300
Medical Identifiers
Medical identifiers for Carolyn Amburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851136766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 236297 (Louisiana) | 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. Carolyn Amburn allows following entities to bill medicare on her behalf.
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20241105001350 |
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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. Carolyn Amburn 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 |
Carolyn Amburn, FNP-C 3589 Highway 389, Merryville, LA 70653-3710 Ph: (409) 273-3400 | Carolyn Amburn, FNP-C 3589 Highway 389, Merryville, LA 70653-3710 Ph: (409) 273-3400 |
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