Carolyn Herbert, is a medicare enrolled "Nurse Practitioner - Family" physician in Memphis, Tennessee. Her current practice location is
3444 Plaza Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(901) 730-4204.
Carolyn Herbert is licensed to practice in Tennessee (license number 33060) 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 1386315778.
Physician's Profile
| Full Name | Carolyn Herbert |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3444 Plaza Ave, Memphis, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386315778
- Provider Enumeration Date: 09/24/2021
- Last Update Date: 12/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648642363
- Enrollment ID: I20230207000171
Medical Identifiers
Medical identifiers for Carolyn Herbert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386315778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 217516 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 33060 (Tennessee) | 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. Carolyn Herbert allows following entities to bill medicare on her behalf.
| Entity Name | The Little Clinic Of Tennessee Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487848800
PECOS PAC ID: 4688762800
Enrollment ID: O20080326000339 |
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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. Carolyn Herbert 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 |
|---|
Carolyn Herbert,
2620 Elm Hill Pike,
Nashville, TN 37214-3108
Ph: () - | Carolyn Herbert,
3444 Plaza Ave,
Memphis, TN 38111-4614
Ph: (901) 730-4204 |
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