Carolyn Mcleod, in Bronx, NY - Medicare Nurse Practitioner

Carolyn Mcleod, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Bronx, New York. Her current practice location is 500 Bergen Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 401-5140.

Carolyn Mcleod is licensed to practice in New York (license number F382094) 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 1952632887.

Contact Information

	Carolyn Mcleod,
	500 Bergen Ave, Bronx, NY 10455-4048
	(718) 401-5140
	Not Available

Map and Direction

Provider's Profile

Full Name	Carolyn Mcleod
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	500 Bergen Ave, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952632887
Provider Enumeration Date: 01/15/2010
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 9931541893
Enrollment ID: I20240523000341

Medical Identifiers

Medical identifiers for Carolyn Mcleod such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952632887	NPI	-	NPPES
03685614	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	402021 (New York)	Secondary
163W00000X	Registered Nurse	612313-1 (New York)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	F382094 (New York)	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 Mcleod allows following entities to bill medicare on her behalf.

Entity Name	Community Counseling And Mediation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003028549 PECOS PAC ID: 5294960936 Enrollment ID: O20131105000444

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 Mcleod 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 Mcleod, 500 Bergen Ave, Bronx, NY 10455-4048 Ph: (718) 401-5140	Carolyn Mcleod, 500 Bergen Ave, Bronx, NY 10455-4048 Ph: (718) 401-5140

Reviews and Comments

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Carolyn Mcleod, - Medicare Nurse Practitioner in Bronx, NY