Rachel Songmin Carroll, FNP-C in Mesa, AZ - Medicare Nurse Practitioner

Rachel Songmin Carroll, FNP-C is a medicare enrolled "Nurse Practitioner" in Mesa, Arizona. Her current practice location is 1933 W Main St Ste 1, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 283-5330.

Rachel Songmin Carroll is licensed to practice in Arizona (license number 294002) 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 1427764000.

Contact Information

	Rachel Songmin Carroll, FNP-C
	1933 W Main St Ste 1, Mesa, AZ 85201-6930
	(480) 283-5330
	Not Available

Map and Direction

Provider's Profile

Full Name	Rachel Songmin Carroll
Gender	Female
Speciality	Nurse Practitioner
Location	1933 W Main St Ste 1, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427764000
Provider Enumeration Date: 01/26/2023
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 7315309150
Enrollment ID: I20230810004058

Medical Identifiers

Medical identifiers for Rachel Songmin Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427764000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	294002 (Arizona)	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 Songmin Carroll allows following entities to bill medicare on her behalf.

Entity Name	Pathway Health & Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376220368 PECOS PAC ID: 6507228343 Enrollment ID: O20230810004022

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 Songmin 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 Songmin Carroll, FNP-C 1345 S Corrine Dr, Gilbert, AZ 85296-4154 Ph: (148) 028-3533	Rachel Songmin Carroll, FNP-C 1933 W Main St Ste 1, Mesa, AZ 85201-6930 Ph: (480) 283-5330

Reviews and Comments

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Rachel Songmin Carroll, FNP-C - Medicare Nurse Practitioner in Mesa, AZ