Mrs Bethany Carolee Rollins, MS, APRN, NP-C, FNP is a medicare enrolled "Nurse Practitioner - Family" in Perkins, Oklahoma. Her current practice location is
103 E Williams Rd, Perkins, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 547-6222.
Mrs Bethany Carolee Rollins is licensed to practice in Oklahoma (license number 71772) 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 1215282132.
Provider's Profile
| Full Name | Mrs Bethany Carolee Rollins |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 103 E Williams Rd, Perkins, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215282132
- Provider Enumeration Date: 07/17/2012
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062661010
- Enrollment ID: I20121005000641
Medical Identifiers
Medical identifiers for Mrs Bethany Carolee Rollins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215282132 | NPI | - | NPPES |
| 71772 | Other | OK | APRN, CNP, RX, OK STATE LICENSE |
| 200443880A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71772 (Oklahoma) | 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. Mrs Bethany Carolee Rollins allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265415806
PECOS PAC ID: 4688584436
Enrollment ID: O20060914000328 |
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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. Mrs Bethany Carolee Rollins 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 |
|---|
Mrs Bethany Carolee Rollins, MS, APRN, NP-C, FNP
Po Box 1109, 103 E Williams Rd,
Perkins, OK 74059-1109
Ph: (405) 547-6222 | Mrs Bethany Carolee Rollins, MS, APRN, NP-C, FNP
103 E Williams Rd,
Perkins, OK 74059-5917
Ph: (405) 547-6222 |
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