Mr Carroll Taylor Brown Iii, PMHNP - Medicare Nurse Practitioner in Sebastopol, CA

Mr Carroll Taylor Brown Iii, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sebastopol, California. His current practice location is 652 Petaluma Ave Ste H, Sebastopol, California. You can reach out to his office (for appointments etc.) via phone at (707) 823-3166.

Mr Carroll Taylor Brown Iii is licensed to practice in California (license number 95018200) 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 1831709773.

Contact Information

Mr Carroll Taylor Brown Iii, PMHNP
652 Petaluma Ave Ste H,
Sebastopol, CA 95472-4266
(707) 823-3166
(707) 869-8170

Map and Direction




Provider's Profile

Full NameMr Carroll Taylor Brown Iii
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location652 Petaluma Ave Ste H, Sebastopol, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831709773
  • Provider Enumeration Date: 08/05/2020
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062850423
  • Enrollment ID: I20240403003976

Medical Identifiers

Medical identifiers for Mr Carroll Taylor Brown Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831709773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent 95202301 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95018200 (California)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. Mr Carroll Taylor Brown Iii 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 AddressPractice Location Address
Mr Carroll Taylor Brown Iii, PMHNP
468 Stow Ave Apt 3,
Oakland, CA 94606-1159

Ph: (510) 934-2805
Mr Carroll Taylor Brown Iii, PMHNP
652 Petaluma Ave Ste H,
Sebastopol, CA 95472-4266

Ph: (707) 823-3166

Reviews and Comments


Nurse Practitioner Nurses in Sebastopol, CA

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Practice Location: 2264 Green Hill Rd, Sebastopol, CA 95472
Phone: 707-503-0962    
Katherine Ann Miller, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 652 Petaluma Ave Ste H, Sebastopol, CA 95472
Phone: 707-823-3166    
Joseph Harnett Hatheway, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 568 Live Oak Ave Ste H, Sebastopol, CA 95472
Phone: 707-823-3166    Fax: 707-869-8170
Terri Joan Drew, N.P.
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Medicare: Medicare Enrolled
Practice Location: 103 Morris St Ste L, Sebastopol, CA 95472
Phone: 707-321-0231    Fax: 707-401-1138

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.