Vanessa Carroll, is a medicare enrolled "Counselor - Mental Health" provider in Wheatfield, Indiana. Her current practice location is 
12501 N State Road 49, Wheatfield, Indiana. You can reach out to her office (for appointments etc.) via phone at 
(219) 956-3125.
Vanessa Carroll is licensed to practice in * (Not Available) (license number ) 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 1942670732.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Vanessa Carroll | 
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| Gender | Female | 
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| Speciality | Counselor - Mental Health | 
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| Location | 12501 N State Road 49, Wheatfield, Indiana | 
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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: 1942670732
 - Provider Enumeration Date: 10/06/2015
 - Last Update Date: 10/06/2015
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 7214471705
 - Enrollment ID: I20240625003513
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Vanessa Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1942670732 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101YM0800X | Counselor - Mental Health  |  (* (Not Available)) | 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. Vanessa Carroll allows following entities to bill medicare on her behalf.
| Entity Name | Southlake Community Mental Health Center Inc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031231000117 | 
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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. Vanessa 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 | 
		Vanessa Carroll, 12501 N State Road 49, Wheatfield, IN 46392-8986 Ph: (219) 956-3125 | Vanessa Carroll, 12501 N State Road 49, Wheatfield, IN 46392-8986 Ph: (219) 956-3125 | 
		
		 
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