Courtney Carroll, FNP-C in Gray, TN - Medicare Nurse Practitioner

Courtney Carroll, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Gray, Tennessee. Her current practice location is 2103 Forest Dr Ste 5, Gray, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 794-3142.

Courtney Carroll is licensed to practice in Tennessee (license number 25120) 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 1972069722.

Contact Information

	Courtney Carroll, FNP-C
	2103 Forest Dr Ste 5, Gray, TN 37615-8423
	(423) 794-3142
	Not Available

Map and Direction

Provider's Profile

Full Name	Courtney Carroll
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2103 Forest Dr Ste 5, Gray, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972069722
Provider Enumeration Date: 02/18/2019
Last Update Date: 04/02/2020

Medicare PECOS Information:

PECOS PAC ID: 3072853142
Enrollment ID: I20190327003169

Medical Identifiers

Medical identifiers for Courtney Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972069722	NPI	-	NPPES
Q046854	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	25120 (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. Courtney Carroll allows following entities to bill medicare on her behalf.

Entity Name	Associated Pain Specialists, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487075099 PECOS PAC ID: 7214167733 Enrollment ID: O20140303000710

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345

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. Courtney Carroll 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
Courtney Carroll, FNP-C 1326 Papermill Pointe Way, Knoxville, TN 37909-1903 Ph: (865) 673-5000	Courtney Carroll, FNP-C 2103 Forest Dr Ste 5, Gray, TN 37615-8423 Ph: (423) 794-3142

Reviews and Comments

Nurse Practitioner Nurses in Gray, TN

Wanda Jarrett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Judge Gresham Rd Ste B, Gray, TN 37615 Phone: 423-477-2010
Ms. Susan Kay Pennypacker, FNP C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 Phone: 423-477-2042 Fax: 423-477-7571
Mrs. Connie Marion Reynolds, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2102 Forest Dr, Suite 5, Gray, TN 37615 Phone: 423-794-6595 Fax: 423-477-0310
Amber Lynette Vance, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2103 Forest Dr Ste 5, Gray, TN 37615 Phone: 423-794-3142 Fax: 423-794-3184
Melissa V Layne, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Judge Gresham Rd, Suite B, Gray, TN 37615 Phone: 423-477-2885 Fax: 423-477-0113
Mr. William Joseph Cote, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Old Gray Station Road, Gray, TN 37615 Phone: 423-467-8001 Fax: 423-467-8003
Matthew J Grimm, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2103 Forest Dr Ste 5, Gray, TN 37615 Phone: 423-794-3142 Fax: 423-794-3184

Courtney Carroll, FNP-C - Medicare Nurse Practitioner in Gray, TN