Jennifer L Carroll, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Streetsboro, Ohio. She went to University Of Toledo College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice University Primary Care Practices Inc and her current practice location is
9318 State Route 14, 3rd Floor, Streetsboro, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 626-2710.
Jennifer L Carroll is licensed to practice in Ohio (license number 35079394) 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 1306849401.
Physician's Profile
| Full Name | Jennifer L Carroll |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 27 Years |
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| Location | 9318 State Route 14, Streetsboro, 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:
- Jennifer L Carroll attended and graduated from University Of Toledo College Of Medicine in 1997
NPI Data:
- NPI Number: 1306849401
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 12/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 2062308075
- Enrollment ID: I20040226000196
Medical Identifiers
Medical identifiers for Jennifer L Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306849401 | NPI | - | NPPES |
| 2264946 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35079394 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Primary Care Practices Inc | 3072417534 | 940 |
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. Jennifer L Carroll allows following entities to bill medicare on her behalf.
| Entity Name | University Primary Care Practices Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767 |
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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. Jennifer L 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 |
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Jennifer L Carroll, MD
9318 State Route 14, 3rd Floor,
Streetsboro, OH 44241
Ph: (330) 626-2710 | Jennifer L Carroll, MD
9318 State Route 14, 3rd Floor,
Streetsboro, OH 44241-5224
Ph: (330) 626-2710 |
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