Ellen M Carroll, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sag Harbor, New York. Her current practice location is
5 Northview Dr, Sag Harbor, New York. You can reach out to her office (for appointments etc.) via phone at
(203) 550-3519.
Ellen M Carroll is licensed to practice in Connecticut (license number 2605) 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 1467672097.
Provider's Profile
Full Name | Ellen M Carroll |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 5 Northview Dr, Sag Harbor, New York |
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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: 1467672097
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113348632
- Enrollment ID: I20200609000170
Medical Identifiers
Medical identifiers for Ellen M Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467672097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | F 380919 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2605 (Connecticut) | Primary |
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. Ellen M 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 |
Ellen M Carroll, APRN 14 Glen Ridge Rd, Greenwich, CT 06831-3657 Ph: (203) 531-1646 | Ellen M Carroll, APRN 5 Northview Dr, Sag Harbor, NY 11963-2353 Ph: (203) 550-3519 |
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