Kiersten Rene Carrico, PA-C in Fort Wayne, IN - Medicare Physician Assistant

Kiersten Rene Carrico, PA-C is a medicare enrolled "Physician Assistant" in Fort Wayne, Indiana. Her current practice location is 7950 W Jefferson Blvd, Sutie 2121, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 435-7937.

Kiersten Rene Carrico is licensed to practice in Indiana (license number ) 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 1508203597.

Contact Information

	Kiersten Rene Carrico, PA-C
	7950 W Jefferson Blvd, Sutie 2121, Fort Wayne, IN 46804-4140
	(260) 435-7937
	(260) 435-7933

Map and Direction

Provider's Profile

Full Name	Kiersten Rene Carrico
Gender	Female
Speciality	Physician Assistant
Location	7950 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508203597
Provider Enumeration Date: 05/30/2013
Last Update Date: 04/04/2014

Medicare PECOS Information:

PECOS PAC ID: 9335383538
Enrollment ID: I20130909000697

Medical Identifiers

Medical identifiers for Kiersten Rene Carrico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508203597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(Indiana)	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. Kiersten Rene Carrico 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
Kiersten Rene Carrico, PA-C 10351 Dawsons Creek Blvd, Suite A-1, Fort Wayne, IN 46825-1904 Ph: (260) 203-9600	Kiersten Rene Carrico, PA-C 7950 W Jefferson Blvd, Sutie 2121, Fort Wayne, IN 46804-4140 Ph: (260) 435-7937

Reviews and Comments

Physician Assistant Nurses in Fort Wayne, IN

Macy Marie Bradbury, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065
Miss Jacqueline Langer, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Mr. Christopher A Fegley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804 Phone: 260-458-3555 Fax: 260-458-3530
Ms. Debra Lammers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065
Mrs. Brianna J Abbott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 Phone: 260-266-5260 Fax: 260-266-5913
Ms. Kari M Rasmussen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000
Mr. Thomas G Edwards, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 Fax: 260-482-4442

Kiersten Rene Carrico, PA-C - Medicare Physician Assistant in Fort Wayne, IN