Dr Travis Rod Carroll, MD in Dalton, GA

Dr Travis Rod Carroll, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Dalton, Georgia. His current practice location is 1200 Memorial Dr, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 264-1897.

Dr Travis Rod Carroll is licensed to practice in Georgia (license number 074111) 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 1114137551.

Contact Information

	Dr Travis Rod Carroll, MD
	1200 Memorial Dr, Dalton, GA 30720-2529
	(706) 264-1897
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Travis Rod Carroll
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	1200 Memorial Dr, Dalton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114137551
Provider Enumeration Date: 05/23/2007
Last Update Date: 01/12/2016

Medicare PECOS Information:

PECOS PAC ID: 8820232937
Enrollment ID: I20130911000311

Medical Identifiers

Medical identifiers for Dr Travis Rod Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114137551	NPI	-	NPPES
003161386A	Medicaid	GA
213538601	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	N5608 (Texas)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	074111 (Georgia)	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. Dr Travis Rod Carroll allows following entities to bill medicare on his behalf.

Entity Name	Magella Medical Associates Billing Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144

Entity Name	Pediatrix Medical Group Of Texas Billing Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264

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 Travis Rod 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 Travis Rod Carroll, MD Po Box 2645, Dalton, GA 30722-2645 Ph: (706) 264-1897	Dr Travis Rod Carroll, MD 1200 Memorial Dr, Dalton, GA 30720-2529 Ph: (706) 264-1897

Reviews and Comments

Pediatrics Doctors in Dalton, GA

Susan Hartley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229
Cedric Bernard Windom Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2918 E Walnut Ave, Dalton, GA 30721 Phone: 706-529-4600 Fax: 706-529-4633
Mr. Ricardo Raul Riesco, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1933 Shields Road, Dalton, GA 30720 Phone: 706-278-6628 Fax: 706-278-6650
Mr. Ayodeji C Makinde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 Chattanooga Ave, Ste 1, Dalton, GA 30721 Phone: 706-876-2130 Fax: 706-876-2168
Ayman M. Rifai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229
Dr. Rose C Augustine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229

Dr Travis Rod Carroll, MD - Medicare Pediatrics in Dalton, GA