Dalton Robert Carroll, FNP-C in Shreveport, LA

Dalton Robert Carroll, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Shreveport, Louisiana. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cross Lake Emergency Group, Llc and his current practice location is 8445 Line Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 703-5655.

Dalton Robert Carroll is licensed to practice in Louisiana (license number 220441) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376115212.

Contact Information

	Dalton Robert Carroll, FNP-C
	8445 Line Ave, Shreveport, LA 71106-5925
	(318) 703-5655
	Not Available

Map and Direction

Provider's Profile

Full Name	Dalton Robert Carroll
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	8445 Line Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dalton Robert Carroll graduated from nursing school in 2021

NPI Data:

NPI Number: 1376115212
Provider Enumeration Date: 07/12/2021
Last Update Date: 07/12/2021

Medicare PECOS Information:

PECOS PAC ID: 2961895156
Enrollment ID: I20220211000186

Medical Identifiers

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

Identifier	Type	State	Issuer
1376115212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	220441 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cross Lake Emergency Group, Llc	5395096440	45

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. Dalton Robert Carroll allows following entities to bill medicare on his behalf.

Entity Name	Cross Lake Emergency Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013497114 PECOS PAC ID: 5395096440 Enrollment ID: O20180928000987

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. Dalton Robert 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
Dalton Robert Carroll, FNP-C 625 Dumaine Dr, Bossier City, LA 71111-6277 Ph: (318) 751-1246	Dalton Robert Carroll, FNP-C 8445 Line Ave, Shreveport, LA 71106-5925 Ph: (318) 703-5655

Reviews and Comments

Nurse Practitioner Nurses in Shreveport, LA

Lasonya Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7840 Jewella Ave, Shreveport, LA 71108 Phone: 318-401-1432 Fax: 318-562-3889
James E Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Avenue, Ste 200, Shreveport, LA 71101 Phone: 318-629-5555 Fax: 318-629-5556
Tamara J Trainer, RN, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Fairfield Room 551, Dhh-office Of Public Health, Shreveport, LA 71101 Phone: 318-676-7470
Ms. Shannon Renee Gully, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411
Alana O Bragg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-5379 Fax: 318-675-4671
Pamela B. Simmons, PHD, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Olive St, Shreveport, LA 71104 Phone: 318-470-6194
Barbara Lynn Bruner, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Dalton Robert Carroll, FNP-C - Medicare Nurse Practitioner in Shreveport, LA