Mrs Deena Delynne Carrico, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fancy Farm, Kentucky. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vitae Health Medical Kentucky, Llc and her current practice location is
1169 Carrico Rd, Fancy Farm, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 832-4826.
Mrs Deena Delynne Carrico is licensed to practice in Kentucky (license number 3010068) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1033577564.
Provider's Profile
Full Name | Mrs Deena Delynne Carrico |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 9 Years |
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Location | 1169 Carrico Rd, Fancy Farm, Kentucky |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Deena Delynne Carrico graduated from nursing school in 2015
NPI Data:
- NPI Number: 1033577564
- Provider Enumeration Date: 01/28/2016
- Last Update Date: 01/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133428543
- Enrollment ID: I20160505001108
Medical Identifiers
Medical identifiers for Mrs Deena Delynne Carrico such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033577564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 3010068 (Kentucky) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Vitae Health Medical Kentucky, Llc | 3173952637 | 12 |
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 Deena Delynne Carrico allows following entities to bill medicare on her behalf.
Entity Name | Pmcp, Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518016823 PECOS PAC ID: 7719976166 Enrollment ID: O20040510001598 |
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Entity Name | Kentucky Phs Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124328323 PECOS PAC ID: 8325228414 Enrollment ID: O20110207000580 |
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Entity Name | Team Health Usa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053779587 PECOS PAC ID: 4486953999 Enrollment ID: O20160505000810 |
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Entity Name | Vitae Health Medical Kentucky, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629600879 PECOS PAC ID: 3173952637 Enrollment ID: O20200403001181 |
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Entity Name | Western Kentucky In Home Providers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962005025 PECOS PAC ID: 9133528110 Enrollment ID: O20210524002493 |
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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 Deena Delynne Carrico 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 Deena Delynne Carrico, APRN Po Box 636961, Cincinnati, OH 45263-6961 Ph: (888) 696-3541 | Mrs Deena Delynne Carrico, APRN 1169 Carrico Rd, Fancy Farm, KY 42039-9354 Ph: (270) 832-4826 |
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