Cristy Dawn Carpenter, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rock Cave, West Virginia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
78 Queens Alley Rd, Rock Cave, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 924-6262.
Cristy Dawn Carpenter is licensed to practice in West Virginia (license number 68388) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1891154951.
Provider's Profile
| Full Name | Cristy Dawn Carpenter |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 78 Queens Alley Rd, Rock Cave, West Virginia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cristy Dawn Carpenter graduated from nursing school in 2015
NPI Data:
- NPI Number: 1891154951
- Provider Enumeration Date: 02/17/2016
- Last Update Date: 02/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 6507163615
- Enrollment ID: I20160404001693
Medical Identifiers
Medical identifiers for Cristy Dawn Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891154951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 68388 (West Virginia) | 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. Cristy Dawn Carpenter allows following entities to bill medicare on her behalf.
| Entity Name | Community Care Of West Virginia, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609042266
PECOS PAC ID: 0446232987
Enrollment ID: O20040607001043 |
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| Entity Name | Next Generation Family Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922630581
PECOS PAC ID: 5092146548
Enrollment ID: O20200515002467 |
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| Entity Name | Pioneer Health Care And Goods |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407502198
PECOS PAC ID: 6709273675
Enrollment ID: O20220422001195 |
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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. Cristy Dawn Carpenter 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 |
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Cristy Dawn Carpenter, FNP
Po Box 217,
Rock Cave, WV 26234-0217
Ph: (304) 924-6262 | Cristy Dawn Carpenter, FNP
78 Queens Alley Rd,
Rock Cave, WV 26234-5890
Ph: (304) 924-6262 |
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