Mrs Carolyn L Mendiola Fruge, MSN AGNP in Tamuning, GU

Mrs Carolyn L Mendiola Fruge, MSN AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Tamuning, Guam. Her current practice location is 1244 N Marine Corps Dr, Tamuning, Guam. You can reach out to her office (for appointments etc.) via phone at (671) 647-8262.

Mrs Carolyn L Mendiola Fruge is licensed to practice in Guam (license number NP-0198) 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 1205490992.

Contact Information

	Mrs Carolyn L Mendiola Fruge, MSN AGNP
	1244 N Marine Corps Dr, Tamuning, GU 96913-4308
	(671) 647-8262
	(671) 647-5252

Map and Direction

Provider's Profile

Full Name	Mrs Carolyn L Mendiola Fruge
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1244 N Marine Corps Dr, Tamuning, Guam
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205490992
Provider Enumeration Date: 04/28/2019
Last Update Date: 04/28/2019

Medicare PECOS Information:

PECOS PAC ID: 1254661416
Enrollment ID: I20191001002701

Medical Identifiers

Medical identifiers for Mrs Carolyn L Mendiola Fruge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205490992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	NP-0198 (Guam)	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 Carolyn L Mendiola Fruge allows following entities to bill medicare on her behalf.

Entity Name	American Medical Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457329849 PECOS PAC ID: 1759311699 Enrollment ID: O20050819000498

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 Carolyn L Mendiola Fruge 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 Carolyn L Mendiola Fruge, MSN AGNP Po Box 7358, Agat, GU 96928-0358 Ph: (671) 487-1927	Mrs Carolyn L Mendiola Fruge, MSN AGNP 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 Ph: (671) 647-8262

Reviews and Comments

Nurse Practitioner Nurses in Tamuning, GU

Diane M Hiatt, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 Fax: 671-646-1292
Marvin Nogoy, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 633 Gov Carlos G Camacho Rd Ste 210, Tamuning, GU 96913 Phone: 671-649-1001 Fax: 671-649-1002
Bannuar Emmanuel Tomboc Quiaoit, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Tun Jesus Crisostomo St Ste 104, Tamuning, GU 96913 Phone: 671-649-8638
Ms. Elena Kirilova Taneva-cholakova, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881
Shion Shironishi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-864-7666
Mrs. Lucy Marie Cruz Iona, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 Fax: 671-646-1292

Mrs Carolyn L Mendiola Fruge, MSN AGNP - Medicare Nurse Practitioner in Tamuning, GU