Philip Lee Carroll, MD in Jonesboro, GA - Medicare Family Medicine

Philip Lee Carroll, MD is a medicare enrolled "Family Medicine" physician in Jonesboro, Georgia. His current practice location is 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 603-3577.

Philip Lee Carroll is licensed to practice in Georgia (license number 065662) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194892000.

Contact Information

	Philip Lee Carroll, MD
	2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236
	(770) 603-3577
	Not Available

Map and Direction

Physician's Profile

Full Name	Philip Lee Carroll
Gender	Male
Speciality	Family Medicine
Location	2400 Mt. Zion Parkway, Jonesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194892000
Provider Enumeration Date: 11/29/2006
Last Update Date: 04/14/2011

Medicare PECOS Information:

PECOS PAC ID: 3072415827
Enrollment ID: I20110413000890

Medical Identifiers

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

Identifier	Type	State	Issuer
1194892000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G67893 (California)	Secondary
207Q00000X	Family Medicine	065662 (Georgia)	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. Philip Lee Carroll allows following entities to bill medicare on his behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Philip Lee 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
Philip Lee Carroll, MD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070	Philip Lee Carroll, MD 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Ph: (770) 603-3577

Reviews and Comments

Family Medicine Doctors in Jonesboro, GA

Kelly Degraffenreid Organ, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Parkway, Family Practice Health Care Team A, Jonesboro, GA 30236 Phone: 770-603-3649
Lynette G Hall, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Parkway, Department Of After Hours, Jonesboro, GA 30236 Phone: 770-603-3649
Boyede Franklin Ademodi, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Department Of Internal Medicine, Jonesboro, GA 30236 Phone: 770-603-3667
Dr. Belkis Pimentel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Office, Jonesboro, GA 30236 Phone: 770-603-3632
Mr. Matthieu Laliberte, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3577
Sonu Mody Patel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-365-0966

Philip Lee Carroll, MD - Medicare Family Medicine in Jonesboro, GA