Eleanor Carroll, PHD in Charlotte, NC - Medicare Psychologist Provider

Eleanor Carroll, PHD is a medicare enrolled "Psychologist" provider in Charlotte, North Carolina. Her current practice location is 941 Foxborough Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 253-6150.

Eleanor Carroll is licensed to practice in North Carolina (license number 2774) 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 1972656999.

Contact Information

	Eleanor Carroll, PHD
	941 Foxborough Rd, Charlotte, NC 28213-5765
	(980) 253-6150
	(704) 598-2490

Map and Direction

Healthcare Provider's Profile

Full Name	Eleanor Carroll
Gender	Female
Speciality	Psychologist
Location	941 Foxborough Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972656999
Provider Enumeration Date: 01/21/2007
Last Update Date: 05/19/2020

Medicare PECOS Information:

PECOS PAC ID: 8921378522
Enrollment ID: I20170713003378

Medical Identifiers

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

Identifier	Type	State	Issuer
1972656999	NPI	-	NPPES
6000279	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2774 (North Carolina)	Secondary
103T00000X	Psychologist	2774 (North Carolina)	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. Eleanor Carroll allows following entities to bill medicare on her behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743

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. Eleanor 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
Eleanor Carroll, PHD 941 Foxborough Rd, Charlotte, NC 28213-5765 Ph: (980) 253-6150	Eleanor Carroll, PHD 941 Foxborough Rd, Charlotte, NC 28213-5765 Ph: (980) 253-6150

Reviews and Comments

Psychologist in Charlotte, NC

Jennifer Manning Thomas, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 206, Charlotte, NC 28211 Phone: 704-381-8336
Raquan Moser, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5108 Reagan Dr Ste 14, Charlotte, NC 28206 Phone: 704-332-8387
Sara L Schara Mcanulty, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2610 E 7th St, Charlotte, NC 28204 Phone: 704-375-8900 Fax: 704-335-7178
Dr. Rebecca Griffin Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 769 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-7180 Fax: 704-531-9266
Chantel Simpson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17512 Chaco Ln, Charlotte, NC 28278 Phone: 718-926-0914
Briana Melissa Webber-lind, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12815 Longstraw Rd, Charlotte, NC 28227 Phone: 704-490-5848
Dr. Heather Noel Anschuetz-jeffers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10001 Old Concord Rd, Charlotte, NC 28213 Phone: 704-547-7483 Fax: 704-547-0052

Eleanor Carroll, PHD - Medicare Psychologist in Charlotte, NC