Carson Lee Hagood, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fultondale, Alabama. His current practice location is
354 Chapel Hill Trl, Fultondale, Alabama. You can reach out to his office (for appointments etc.) via phone at
(931) 309-0211.
Carson Lee Hagood is licensed to practice in Tennessee (license number 34060) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205406931.
Provider's Profile
Full Name | Carson Lee Hagood |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 354 Chapel Hill Trl, Fultondale, Alabama |
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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: 1205406931
- Provider Enumeration Date: 06/25/2021
- Last Update Date: 02/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052772514
- Enrollment ID: I20230731002416
Medical Identifiers
Medical identifiers for Carson Lee Hagood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205406931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 34060 (Tennessee) | 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. Carson Lee Hagood allows following entities to bill medicare on his behalf.
Entity Name | Anesthesia Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
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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. Carson Lee Hagood 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 |
Carson Lee Hagood, 354 Chapel Hill Trl, Fultondale, AL 35068-6077 Ph: (931) 309-0211 | Carson Lee Hagood, 354 Chapel Hill Trl, Fultondale, AL 35068-6077 Ph: (931) 309-0211 |
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