Dr Stacey Peel Carroll, MD in Gualala, CA

Dr Stacey Peel Carroll, MD is a medicare enrolled "Family Medicine" physician in Gualala, California. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Redwood Coast Medical Services, Inc. and her current practice location is 46900 Ocean View Dr, Gualala, California. You can reach out to her office (for appointments etc.) via phone at (707) 884-4005.

Dr Stacey Peel Carroll is licensed to practice in California (license number A199217) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1396207049.

Contact Information

	Dr Stacey Peel Carroll, MD
	46900 Ocean View Dr, Gualala, CA 95445-8458
	(707) 884-4005
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Stacey Peel Carroll
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	46900 Ocean View Dr, Gualala, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Stacey Peel Carroll graduated from medical school in 2018

NPI Data:

NPI Number: 1396207049
Provider Enumeration Date: 04/02/2019
Last Update Date: 03/01/2025

Medicare PECOS Information:

PECOS PAC ID: 0941633911
Enrollment ID: I20250408003942

Medical Identifiers

Medical identifiers for Dr Stacey Peel Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396207049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A199217 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mendocino Coast District Hospital	Fort bragg, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Redwood Coast Medical Services, Inc.	6901941905	6

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. Dr Stacey Peel Carroll allows following entities to bill medicare on her behalf.

Entity Name	Redwood Coast Medical Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962530725 PECOS PAC ID: 6901941905 Enrollment ID: O20100302000446

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. Dr Stacey Peel 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
Dr Stacey Peel Carroll, MD 1664 N Virginia St # Ms 0316, Reno, NV 89557-0001 Ph: () -	Dr Stacey Peel Carroll, MD 46900 Ocean View Dr, Gualala, CA 95445-8458 Ph: (707) 884-4005

Reviews and Comments

Family Medicine Doctors in Gualala, CA

Dr. Mark Kal, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 46900 Ocean Dr, Gualala, CA 95445 Phone: 707-884-4005 Fax: 707-884-9728
Olaf Kristian Golubjatnikov, Family Medicine Medicare: Medicare Enrolled Practice Location: 46900 Ocean View Dr, Gualala, CA 95445 Phone: 707-884-4005
Joanne C. Brooks, R.N. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 46900 Ocean Dr, Gualala, CA 95445 Phone: 707-884-4005 Fax: 707-884-9728

Dr Stacey Peel Carroll, MD - Medicare Family Practice in Gualala, CA