Mr Charles Wayne Carroll, NP in Church Hill, TN

Mr Charles Wayne Carroll, NP is a medicare enrolled "Nurse Practitioner - Family" in Church Hill, Tennessee. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fast Pace Medical Clinic Pllc and his current practice location is 1116 Highway 11 W, Church Hill, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 226-5109.

Mr Charles Wayne Carroll is licensed to practice in Tennessee (license number 30647) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043962541.

Contact Information

	Mr Charles Wayne Carroll, NP
	1116 Highway 11 W, Church Hill, TN 37642-3023
	(423) 226-5109
	(423) 226-5150

Map and Direction

Provider's Profile

Full Name	Mr Charles Wayne Carroll
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	1116 Highway 11 W, Church Hill, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Charles Wayne Carroll graduated from nursing school in 2021

NPI Data:

NPI Number: 1043962541
Provider Enumeration Date: 01/25/2022
Last Update Date: 01/25/2022

Medicare PECOS Information:

PECOS PAC ID: 5597158808
Enrollment ID: I20220209002123

Medical Identifiers

Medical identifiers for Mr Charles Wayne Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043962541	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	30647 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fast Pace Medical Clinic Pllc	5395881841	556

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. Mr Charles Wayne Carroll allows following entities to bill medicare on his behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

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 Charles Wayne 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
Mr Charles Wayne Carroll, NP 1116 Highway 11 W, Church Hill, TN 37642-3023 Ph: (423) 226-5109	Mr Charles Wayne Carroll, NP 1116 Highway 11 W, Church Hill, TN 37642-3023 Ph: (423) 226-5109

Reviews and Comments

Nurse Practitioner Nurses in Church Hill, TN

Heather Varney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 406 E Main Blvd, Church Hill, TN 37642 Phone: 423-357-6761
Susan Yarborough, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1116 Highway 11 W, Church Hill, TN 37642 Phone: 423-226-5109
April Dawn Morelock, MSN RN NE FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 Jefferson Dr, Church Hill, TN 37642 Phone: 423-357-6179
Timothy Ruskey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 Volunteer St, Church Hill, TN 37642 Phone: 423-256-0119 Fax: 423-357-0159
Abagail Farmer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Richmond St, Church Hill, TN 37642 Phone: 423-256-2408

Mr Charles Wayne Carroll, NP - Medicare Nurse Practitioner in Church Hill, TN