Sam Carroll, LPN is a
Licensed Vocational Nurse based in Lakewood, Ohio. Sam Carroll is licensed to practice in Ohio (license number PN091042) and his current practice location is
12047 Lake Ave, Lakewood, Ohio. He can be reached at his office (for appointments etc.) via phone at
(216) 228-0158.
NPI number for Sam Carroll is 1811216138 and his current mailing address is 12047 Lake Ave, Lakewood, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811216138.
Provider's Profile
| Full Name | Sam Carroll |
|---|
| Gender | Male |
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| Speciality | Licensed Vocational Nurse |
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| Location | 12047 Lake Ave, Lakewood, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811216138
- Provider Enumeration Date: 05/26/2010
- Last Update Date: 05/26/2010
Medical Identifiers
Medical identifiers for Sam Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811216138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | PN091042 (Ohio) | Primary |
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. Sam Carroll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sam Carroll, LPN
12047 Lake Ave,
Lakewood, OH 44107-1891
Ph: (216) 228-0158 | Sam Carroll, LPN
12047 Lake Ave,
Lakewood, OH 44107-1891
Ph: (216) 228-0158 |
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