Everett L Carroll, APA-C is a medicare enrolled "Physician Assistant" in Tanana, Alaska. His current practice location is
101 First Ave, Tanana Health Clinic, Tanana, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 366-1016.
Everett L Carroll is licensed to practice in Alaska (license number 1122) 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 1316989981.
Provider's Profile
| Full Name | Everett L Carroll |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 101 First Ave, Tanana, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316989981
- Provider Enumeration Date: 06/11/2006
- Last Update Date: 07/31/2013
Medicare PECOS Information:
- PECOS PAC ID: 1850325440
- Enrollment ID: I20140326000133
Medical Identifiers
Medical identifiers for Everett L Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316989981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1122 (Alaska) | Primary |
| 363A00000X | Physician Assistant | 1287 (Tennessee) | Secondary |
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. Everett L 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 |
|---|
Everett L Carroll, APA-C
Po Box 77150, Tanana Health Clinic,
Tanana, AK 99777-0150
Ph: (907) 366-1016 | Everett L Carroll, APA-C
101 First Ave, Tanana Health Clinic,
Tanana, AK 99777-0150
Ph: (907) 366-1016 |
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