Rachel Carroll, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lisbon, Ohio. Her current practice location is
11278 State Route 7, Lisbon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 314-3100.
Rachel Carroll is licensed to practice in Ohio (license number LE-00051508) 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 1275103376.
Provider's Profile
Full Name | Rachel Carroll |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 11278 State Route 7, Lisbon, Ohio |
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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: 1275103376
- Provider Enumeration Date: 06/30/2021
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880126143
- Enrollment ID: I20241011002676
Medical Identifiers
Medical identifiers for Rachel Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275103376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | RN.333978 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | LE-00051508 (Ohio) | 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. Rachel Carroll allows following entities to bill medicare on her behalf.
Entity Name | Bel-park Anesthesia Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
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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. Rachel 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 |
Rachel Carroll, 11278 State Route 7, Lisbon, OH 44432-9532 Ph: (330) 314-3100 | Rachel Carroll, 11278 State Route 7, Lisbon, OH 44432-9532 Ph: (330) 314-3100 |
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