Mary Grace Carlisle, CNP in Westerville, OH - Medicare Nurse Practitioner

Mary Grace Carlisle, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Westerville, Ohio. Her current practice location is 6252 Callisburg Dr, Westerville, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 906-3223.

Mary Grace Carlisle is licensed to practice in Ohio (license number 0033321) 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 1104524875.

Contact Information

	Mary Grace Carlisle, CNP
	6252 Callisburg Dr, Westerville, OH 43081-0037
	(614) 906-3223
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Grace Carlisle
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6252 Callisburg Dr, Westerville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104524875
Provider Enumeration Date: 02/21/2023
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7517332430
Enrollment ID: I20230406002444

Medical Identifiers

Medical identifiers for Mary Grace Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104524875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0033321 (Ohio)	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. Mary Grace Carlisle allows following entities to bill medicare on her behalf.

Entity Name	Woodstream Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265001234 PECOS PAC ID: 8527462506 Enrollment ID: O20210812003526

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. Mary Grace Carlisle 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
Mary Grace Carlisle, CNP 6252 Callisburg Dr, Westerville, OH 43081-0037 Ph: (614) 906-3223	Mary Grace Carlisle, CNP 6252 Callisburg Dr, Westerville, OH 43081-0037 Ph: (614) 906-3223

Reviews and Comments

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Mrs. Christina Diane Cherry, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 477 Cooper Rd Ste 320, Westerville, OH 43081 Phone: 380-201-3390

Mary Grace Carlisle, CNP - Medicare Nurse Practitioner in Westerville, OH