Carly Rae Tepsick, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Poland, Ohio. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Health Physicians Youngstown Specialty Care Llc and her current practice location is
715 E Western Reserve Rd, Poland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 726-3204.
Carly Rae Tepsick is licensed to practice in Ohio (license number APRN.CNP.0030759) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073268249.
Physician's Profile
| Full Name | Carly Rae Tepsick |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 715 E Western Reserve Rd, Poland, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carly Rae Tepsick graduated from medical school in 2021
NPI Data:
- NPI Number: 1073268249
- Provider Enumeration Date: 02/16/2022
- Last Update Date: 10/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739575077
- Enrollment ID: I20220413001020
Medical Identifiers
Medical identifiers for Carly Rae Tepsick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073268249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | APRN.CNP.0030759 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0030759 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 388 |
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. Carly Rae Tepsick allows following entities to bill medicare on her behalf.
| Entity Name | Triad Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588925457
PECOS PAC ID: 9032367917
Enrollment ID: O20120918000787 |
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| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649892225
PECOS PAC ID: 3476950296
Enrollment ID: O20210921003835 |
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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. Carly Rae Tepsick 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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Carly Rae Tepsick, FNP-C
715 E Western Reserve Rd,
Poland, OH 44514-3358
Ph: (330) 726-3204 | Carly Rae Tepsick, FNP-C
715 E Western Reserve Rd,
Poland, OH 44514-3358
Ph: (330) 726-3204 |
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