Dr Carolyn Theresa Caldwell, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Baltimore, Maryland. Her current practice location is
1750 E Fairmount Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 923-4429.
Dr Carolyn Theresa Caldwell is licensed to practice in Maryland (license number 04816) 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 1679629117.
Healthcare Provider's Profile
Full Name | Dr Carolyn Theresa Caldwell |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 1750 E Fairmount Ave, Baltimore, Maryland |
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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: 1679629117
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486001500
- Enrollment ID: I20231111000704
Medical Identifiers
Medical identifiers for Dr Carolyn Theresa Caldwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679629117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC2200X | Psychologist - Clinical Child & Adolescent | 04816 (Maryland) | Secondary |
103G00000X | Clinical Neuropsychologist | 04816 (Maryland) | 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. Dr Carolyn Theresa Caldwell allows following entities to bill medicare on her behalf.
Entity Name | Kennedy Krieger Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871515783 PECOS PAC ID: 1759280597 Enrollment ID: O20031231000300 |
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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. Dr Carolyn Theresa Caldwell 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 |
Dr Carolyn Theresa Caldwell, PHD 1750 E Fairmount Ave, Baltimore, MD 21231-1534 Ph: (443) 923-4429 | Dr Carolyn Theresa Caldwell, PHD 1750 E Fairmount Ave, Baltimore, MD 21231-1534 Ph: (443) 923-4429 |
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