Jillian J Carolla, APRN in Williamsport, PA - Medicare Nurse Practitioner

Jillian J Carolla, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Williamsport, Pennsylvania. Her current practice location is 1000 Commerce Park Dr Ste 110, Williamsport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 323-6944.

Jillian J Carolla is licensed to practice in Pennsylvania (license number SP028764) 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 1487354890.

Contact Information

	Jillian J Carolla, APRN
	1000 Commerce Park Dr Ste 110, Williamsport, PA 17701-5475
	(570) 323-6944
	Not Available

Map and Direction

Provider's Profile

Full Name	Jillian J Carolla
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1000 Commerce Park Dr Ste 110, Williamsport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487354890
Provider Enumeration Date: 03/06/2023
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 0244673812
Enrollment ID: I20240211000007

Medical Identifiers

Medical identifiers for Jillian J Carolla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487354890	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN762265 (Pennsylvania)	Secondary
163W00000X	Registered Nurse	75971 (West Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	117947 (West Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP028764 (Pennsylvania)	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. Jillian J Carolla allows following entities to bill medicare on her behalf.

Entity Name	Community Services Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265426084 PECOS PAC ID: 1052201571 Enrollment ID: O20040318000465

Entity Name	Supportive Care Of Pennsylvania Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174992275 PECOS PAC ID: 0143521211 Enrollment ID: O20151214002225

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. Jillian J Carolla 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
Jillian J Carolla, APRN 188 School House Ln, Selinsgrove, PA 17870-8923 Ph: (304) 785-0365	Jillian J Carolla, APRN 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701-5475 Ph: (570) 323-6944

Reviews and Comments

Nurse Practitioner Nurses in Williamsport, PA

Lucas Charles Mariano, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 3002, Williamsport, PA 17701 Phone: 570-321-2820 Fax: 570-321-2821
Mrs. Mindi Nichols, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898
Ms. Sonya Miles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-567-5421
Ashlee Leigh Hall, CRNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2810 Fax: 570-321-2811
Merete Vogelsong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Suite 2001, Williamsport, PA 17701 Phone: 570-321-2800
Michelle Marie Dangle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400
Rebecca Rhone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 2001, Williamsport, PA 17701 Phone: 570-321-3165

Jillian J Carolla, APRN - Medicare Nurse Practitioner in Williamsport, PA