Carrie Ratliff-yahyavi, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Dallas, Texas. Her current practice location is
6363 Forest Park Rd 7th Fl Ste 749, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 645-8500.
Carrie Ratliff-yahyavi is licensed to practice in Texas (license number 1034845) 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 1326699323.
Healthcare Provider's Profile
| Full Name | Carrie Ratliff-yahyavi |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 6363 Forest Park Rd 7th Fl Ste 749, Dallas, Texas |
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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: 1326699323
- Provider Enumeration Date: 09/23/2019
- Last Update Date: 09/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 0840625547
- Enrollment ID: I20200125000452
Medical Identifiers
Medical identifiers for Carrie Ratliff-yahyavi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326699323 | NPI | - | NPPES |
| Q053969 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 3529 (Tennessee) | Secondary |
| 163W00000X | Registered Nurse | 233166 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26499 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1034845 (Texas) | 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. Carrie Ratliff-yahyavi allows following entities to bill medicare on her behalf.
| Entity Name | Parkwest Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396739165
PECOS PAC ID: 8527965417
Enrollment ID: O20040429000423 |
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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. Carrie Ratliff-yahyavi 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 |
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Carrie Ratliff-yahyavi, APRN
Po Box 845347,
Dallas, TX 75284-5347
Ph: (214) 645-0624 | Carrie Ratliff-yahyavi, APRN
6363 Forest Park Rd 7th Fl Ste 749,
Dallas, TX 75390-4325
Ph: (214) 645-8500 |
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