Timothy Glenn Carroll, MD in Pensacola, FL

Timothy Glenn Carroll, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Pensacola, Florida. His current practice location is 8331 N Davis Hwy, Pensacola, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 505-4700.

Timothy Glenn Carroll is licensed to practice in Florida (license number ME158862) 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 1598852428.

Contact Information

	Timothy Glenn Carroll, MD
	8331 N Davis Hwy, Pensacola, FL 32514-6094
	(850) 505-4700
	(850) 505-4711

Map and Direction

Physician's Profile

Full Name	Timothy Glenn Carroll
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	8331 N Davis Hwy, Pensacola, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598852428
Provider Enumeration Date: 10/10/2006
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2466508122
Enrollment ID: I20110722000392

Medical Identifiers

Medical identifiers for Timothy Glenn Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598852428	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	28346 (Oklahoma)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	ME158862 (Florida)	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. Timothy Glenn Carroll allows following entities to bill medicare on his behalf.

Entity Name	Integris Ambulatory Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354

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. Timothy Glenn 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
Timothy Glenn Carroll, MD 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4100	Timothy Glenn Carroll, MD 8331 N Davis Hwy, Pensacola, FL 32514-6094 Ph: (850) 505-4700

Reviews and Comments

Pediatrics Doctors in Pensacola, FL

Elyse S Schrandt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-1575
Prashanth Shanmugham, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-4970
Lisbeth Vernali, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4785 N 9th Ave, Suite A, Pensacola, FL 32503 Phone: 850-478-7600
Gulnur Com, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Trinity Dr, Pensacola, FL 32504 Phone: 850-416-1110 Fax: 850-416-1192
John Frank Bullard Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2805 Bayou Blvd, Pensacola, FL 32503 Phone: 850-434-6881 Fax: 850-434-8999
Mr. Roger C Clubbs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4951 Grande Dr, Pensacola, FL 32504 Phone: 850-473-0100 Fax: 850-473-0500
Robert K Wilson Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5192 Bayou Blvd, Pensacola, FL 32503 Phone: 850-484-5040 Fax: 850-475-5527

Timothy Glenn Carroll, MD - Medicare Pediatrics in Pensacola, FL