Phyllis Crisostomo Carroll, FNP-C in Novato, CA

Phyllis Crisostomo Carroll, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Novato, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brighter Beginnings and her current practice location is 6100 Redwood Blvd, Novato, California. You can reach out to her office (for appointments etc.) via phone at (415) 448-1500.

Phyllis Crisostomo Carroll is licensed to practice in California (license number 9008368) 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 1417456351.

Contact Information

	Phyllis Crisostomo Carroll, FNP-C
	6100 Redwood Blvd, Novato, CA 94945-4501
	(415) 448-1500
	Not Available

Map and Direction

Provider's Profile

Full Name	Phyllis Crisostomo Carroll
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	6100 Redwood Blvd, Novato, California
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:

Phyllis Crisostomo Carroll graduated from nursing school in 2017

NPI Data:

NPI Number: 1417456351
Provider Enumeration Date: 02/06/2018
Last Update Date: 02/06/2018

Medicare PECOS Information:

PECOS PAC ID: 5597014191
Enrollment ID: I20220824002260

Medical Identifiers

Medical identifiers for Phyllis Crisostomo Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417456351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9008368 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brighter Beginnings	8820274699	8

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. Phyllis Crisostomo Carroll allows following entities to bill medicare on her behalf.

Entity Name	Brighter Beginnings
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942638978 PECOS PAC ID: 8820274699 Enrollment ID: O20110511000548

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. Phyllis Crisostomo Carroll 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
Phyllis Crisostomo Carroll, FNP-C 405 Holly Dr, San Rafael, CA 94903-2441 Ph: (510) 520-0488	Phyllis Crisostomo Carroll, FNP-C 6100 Redwood Blvd, Novato, CA 94945-4501 Ph: (415) 448-1500

Reviews and Comments

Nurse Practitioner Nurses in Novato, CA

Ms. Kelli Elizabeth Rugani, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 790 Tamalpais Ave, Novato, CA 94947 Phone: 415-250-6809
Barbara Doran, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7411
Valerie C Ridgeway, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Rowland Way, Suite 311, Novato, CA 94945 Phone: 415-897-9664 Fax: 415-897-2446
Dina Khait Maldonado, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6100 Redwood Blvd, Novato, CA 94945 Phone: 415-448-1500
Jennifer Shaw-chin Liu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Rowland Way, Suite 215, Novato, CA 94945 Phone: 415-897-5171 Fax: 415-892-1611
Arielle L Greenlee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Commercial Blvd Ste 200, Novato, CA 94949 Phone: 415-680-5328
Jennifer Solomon Mattox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 San Marin Dr, Novato, CA 94945 Phone: 415-899-7525 Fax: 415-899-7623

Phyllis Crisostomo Carroll, FNP-C - Medicare Nurse Practitioner in Novato, CA