Carolyn Ann Space, CNP - Medicare Nurse Practitioner in Eglin, FL

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Carolyn Ann Space, CNP is a medicare enrolled "Nurse Practitioner" in Eglin, Florida. Her current practice location is 96 Mdg, 307 Boatner Road, Eglin, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 883-9957.

Carolyn Ann Space is licensed to practice in Florida (license number ARNP9457268) 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 1336553585.

Contact Information

Carolyn Ann Space, CNP
96 Mdg, 307 Boatner Road,
Eglin, FL 32542
(850) 883-9957
Not Available

Map and Direction




Provider's Profile

Full NameCarolyn Ann Space
GenderFemale
SpecialityNurse Practitioner
Location96 Mdg, Eglin, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336553585
  • Provider Enumeration Date: 06/16/2014
  • Last Update Date: 09/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2860619665
  • Enrollment ID: I20221205000045

Medical Identifiers

Medical identifiers for Carolyn Ann Space such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336553585NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP9457268 (Florida)Primary

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 Ann Space 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 AddressPractice Location Address
Carolyn Ann Space, CNP
96mdg, 307 Boatner Road Attn: Credentials,
Eglin, FL 32542

Ph: (850) 883-9957		Carolyn Ann Space, CNP
96 Mdg, 307 Boatner Road,
Eglin, FL 32542

Ph: (850) 883-9957

Reviews and Comments


Nurse Practitioner Nurses in Eglin, FL

Ms. Victoria Margaret Baker-janis, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 307 Boatner Rd, Suite 114, Eglin, FL 32542
Phone: 850-883-8600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.