Mrs Patricia E Carr, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sullivan, Illinois. Her current practice location is
1220 W Jackson St, Sullivan, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 728-2042.
Mrs Patricia E Carr is licensed to practice in Illinois (license number 209003187) 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 1104822568.
Provider's Profile
Full Name | Mrs Patricia E Carr |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1220 W Jackson St, Sullivan, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104822568
- Provider Enumeration Date: 06/21/2005
- Last Update Date: 09/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 2264449131
- Enrollment ID: I20060317000220
Medical Identifiers
Medical identifiers for Mrs Patricia E Carr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104822568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209003187 (Illinois) | 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 Patricia E Carr allows following entities to bill medicare on her behalf.
Entity Name | Hshs Holy Family Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205850690 PECOS PAC ID: 7517879349 Enrollment ID: O20040216000198 |
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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 Patricia E Carr 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 Patricia E Carr, FNP 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 Ph: (217) 876-2857 | Mrs Patricia E Carr, FNP 1220 W Jackson St, Sullivan, IL 61951-1032 Ph: (217) 728-2042 |
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