Mr Quinton W Carroll, APRN in Johnson City, TN

Mr Quinton W Carroll, APRN is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. His current practice location is 508 Princeton Rd, Suite 104, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 384-0614.

Mr Quinton W Carroll is licensed to practice in Tennessee (license number 14954) 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 1619187283.

Contact Information

	Mr Quinton W Carroll, APRN
	508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060
	(423) 384-0614
	(423) 928-5814

Map and Direction

Provider's Profile

Full Name	Mr Quinton W Carroll
Gender	Male
Speciality	Nurse Practitioner - Family
Location	508 Princeton Rd, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619187283
Provider Enumeration Date: 05/23/2007
Last Update Date: 05/05/2017

Medicare PECOS Information:

PECOS PAC ID: 0143344119
Enrollment ID: I20100826001196

Medical Identifiers

Medical identifiers for Mr Quinton W Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619187283	NPI	-	NPPES
1519749	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC1500X	Registered Nurse - Community Health	153426 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	14954 (Tennessee)	Primary
363LP2300X	Nurse Practitioner - Primary Care	14954 (Tennessee)	Secondary

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 Quinton W Carroll allows following entities to bill medicare on his behalf.

Entity Name	East Tennessee Medical Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619089034 PECOS PAC ID: 2062460009 Enrollment ID: O20050106000879

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 Quinton W 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 Quinton W Carroll, APRN Po Box 4446, Johnson City, TN 37602 Ph: (423) 384-0614	Mr Quinton W Carroll, APRN 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 Ph: (423) 384-0614

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615 Phone: 423-794-5988 Fax: 423-232-8583
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604 Phone: 423-952-5300 Fax: 423-402-8557

Mr Quinton W Carroll, APRN - Medicare Nurse Practitioner in Johnson City, TN