Jacquelyn Marie Carroll, in Greensburg, PA - Medicare Nurse Practitioner

Jacquelyn Marie Carroll, is a medicare enrolled "Nurse Practitioner - Acute Care" in Greensburg, Pennsylvania. Her current practice location is 562 Shearer St Ste 103, Greensburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 837-1894.

Jacquelyn Marie Carroll is licensed to practice in Pennsylvania (license number SP028390) 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 1972359263.

Contact Information

	Jacquelyn Marie Carroll,
	562 Shearer St Ste 103, Greensburg, PA 15601-2746
	(724) 837-1894
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacquelyn Marie Carroll
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	562 Shearer St Ste 103, Greensburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972359263
Provider Enumeration Date: 04/26/2024
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4688016744
Enrollment ID: I20240521004574

Medical Identifiers

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

Identifier	Type	State	Issuer
1972359263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP028390 (Pennsylvania)	Primary
363LG0600X	Nurse Practitioner - Gerontology	SP028390 (Pennsylvania)	Secondary

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. Jacquelyn Marie Carroll allows following entities to bill medicare on her behalf.

Entity Name	Excela Health Physician Practices, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393

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. Jacquelyn Marie 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
Jacquelyn Marie Carroll, 423 E Pittsburgh St, Greensburg, PA 15601-2659 Ph: (724) 309-3910	Jacquelyn Marie Carroll, 562 Shearer St Ste 103, Greensburg, PA 15601-2746 Ph: (724) 837-1894

Reviews and Comments

Nurse Practitioner Nurses in Greensburg, PA

Jordan Anne Culler, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 532 W Pittsburgh St, Greensburg, PA 15601 Phone: 724-832-4000
Katherine Ringstad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 Nature Park Rd, Greensburg, PA 15601 Phone: 412-515-2239
Brittany Kohl, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 W Newton St, Greensburg, PA 15601 Phone: 724-832-7045 Fax: 724-832-9165
Katie Paul, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 562 Shearer St Ste 203, Greensburg, PA 15601 Phone: 724-837-1894 Fax: 724-837-0681
Matthew Albert Caldwell, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17 Glenview Ave, Greensburg, PA 15601 Phone: 717-433-2884
Robbin Yothers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Village Dr, Suite B, Greensburg, PA 15601 Phone: 724-832-0850 Fax: 724-832-1623
Danielle Jolene Smith, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Village Dr, Greensburg, PA 15601 Phone: 724-689-0520 Fax: 724-689-0522

Jacquelyn Marie Carroll, - Medicare Nurse Practitioner in Greensburg, PA