Gretta Carroll, MD in Holloman Afb, NM - Medicare Family Medicine

Gretta Carroll, MD is a medicare enrolled "Family Medicine" physician in Holloman Afb, New Mexico. Her current practice location is 280 1st St, Holloman Afb, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 572-7091.

Gretta Carroll is licensed to practice in Nebraska (license number 29856) 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 1619358900.

Contact Information

	Gretta Carroll, MD
	280 1st St, Holloman Afb, NM 88330-8273
	(575) 572-7091
	Not Available

Map and Direction

Physician's Profile

Full Name	Gretta Carroll
Gender	Female
Speciality	Family Medicine
Location	280 1st St, Holloman Afb, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619358900
Provider Enumeration Date: 06/12/2015
Last Update Date: 03/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4981906427
Enrollment ID: I20220719000780

Medical Identifiers

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

Identifier	Type	State	Issuer
1619358900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	29856 (Nebraska)	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. Gretta Carroll allows following entities to bill medicare on her behalf.

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

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. Gretta 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
Gretta Carroll, MD 280 1st St, Holloman Afb, NM 88330-8273 Ph: (575) 572-7091	Gretta Carroll, MD 280 1st St, Holloman Afb, NM 88330-8273 Ph: (575) 572-7091

Reviews and Comments

Family Medicine Doctors in Holloman Afb, NM

George L Garcia, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 49th Medical Group/sgopf, 280 First Street, Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-7091 Fax: 575-572-2259
David Mason, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 280 David L Goldfein St Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-1870
Erin Kathleen O'pry, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 49th Medical Group, 280 1st St, Holloman Afb, NM 88330 Phone: 575-572-2778
Dr. Dorie Elaine Pitzer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 49 Mdg, 280 First Str, Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-0989

Gretta Carroll, MD - Medicare Family Medicine in Holloman Afb, NM