Carolyn Simmons Gaeckle, PMHNP - Medicare Nurse Practitioner in Northfield, VT

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Carolyn Simmons Gaeckle, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Northfield, Vermont. Her current practice location is 454 Freeman Rd, Northfield, Vermont. You can reach out to her office (for appointments etc.) via phone at (302) 332-6021.

Carolyn Simmons Gaeckle is licensed to practice in Vermont (license number 101.0136910) 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 1962266387.

Contact Information

Carolyn Simmons Gaeckle, PMHNP
454 Freeman Rd,
Northfield, VT 05663-6230
(302) 332-6021
Not Available

Map and Direction




Provider's Profile

Full NameCarolyn Simmons Gaeckle
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location454 Freeman Rd, Northfield, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962266387
  • Provider Enumeration Date: 02/07/2024
  • Last Update Date: 02/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072055748
  • Enrollment ID: I20240610001566

Medical Identifiers

Medical identifiers for Carolyn Simmons Gaeckle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962266387NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 101.0136910 (Vermont)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 Simmons Gaeckle allows following entities to bill medicare on her behalf.
Entity NameLong Trail Psychiatry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043083652
PECOS PAC ID: 8527402429
Enrollment ID: O20240220000284

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 Simmons Gaeckle 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 Simmons Gaeckle, PMHNP
Po Box 344,
Waterbury Center, VT 05677-0344

Ph: (302) 332-6021		Carolyn Simmons Gaeckle, PMHNP
454 Freeman Rd,
Northfield, VT 05663-6230

Ph: (302) 332-6021

Reviews and Comments


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Debra Maloney-evans, NP
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Phone: 802-485-4161    Fax: 802-485-4163
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Phone: 802-485-4161    Fax: 802-485-4163
Loretta B. Charles, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663
Phone: 802-485-4161    Fax: 802-485-4163

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.