Mrs Carol Allicia Ann Maxwell, APRN in Virginia Beach, VA

Mrs Carol Allicia Ann Maxwell, APRN is a medicare enrolled "Nurse Practitioner - Family" in Virginia Beach, Virginia. Her current practice location is 1035 Nider Blvd Ste 100, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 953-8351.

Mrs Carol Allicia Ann Maxwell is licensed to practice in Virginia (license number 0024182777) 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 1134538168.

Contact Information

	Mrs Carol Allicia Ann Maxwell, APRN
	1035 Nider Blvd Ste 100, Virginia Beach, VA 23459-8701
	(757) 953-8351
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Carol Allicia Ann Maxwell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1035 Nider Blvd Ste 100, Virginia Beach, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134538168
Provider Enumeration Date: 08/04/2014
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 0941523138
Enrollment ID: I20141218002411

Medical Identifiers

Medical identifiers for Mrs Carol Allicia Ann Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134538168	NPI	-	NPPES
7100348230 (KOHMG)	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024182777 (Virginia)	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 Carol Allicia Ann Maxwell allows following entities to bill medicare on her behalf.

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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 Carol Allicia Ann Maxwell 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 Carol Allicia Ann Maxwell, APRN 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: () -	Mrs Carol Allicia Ann Maxwell, APRN 1035 Nider Blvd Ste 100, Virginia Beach, VA 23459-8701 Ph: (757) 953-8351

Reviews and Comments

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Mrs Carol Allicia Ann Maxwell, APRN - Medicare Nurse Practitioner in Virginia Beach, VA