Nels Davis Carroll, - Medicare Cardiac Surgery in Thousand Oaks, CA

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Nels Davis Carroll, is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Thousand Oaks, California. He went to Temple University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Providence Health And Services Washington and his current practice location is 227 W Janss Rd Ste 340, Thousand Oaks, California. You can reach out to his office (for appointments etc.) via phone at (805) 852-9100.

Nels Davis Carroll is licensed to practice in California (license number A192800) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396122099.

Contact Information

Nels Davis Carroll,
227 W Janss Rd Ste 340,
Thousand Oaks, CA 91360-1879
(805) 852-9100
Not Available

Map and Direction




Physician's Profile

Full NameNels Davis Carroll
GenderMale
SpecialityCardiac Surgery
Experience9 Years
Location227 W Janss Rd Ste 340, Thousand Oaks, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nels Davis Carroll attended and graduated from Temple University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1396122099
  • Provider Enumeration Date: 05/01/2015
  • Last Update Date: 02/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638462344
  • Enrollment ID: I20210920003145

Medical Identifiers

Medical identifiers for Nels Davis Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396122099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) MD61172512 (Washington)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) A192800 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Peter HospitalOlympia, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Washington6709782600393

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. Nels Davis Carroll allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028
Entity NameSwedish Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689612954
PECOS PAC ID: 0244138196
Enrollment ID: O20031230000187
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619176997
PECOS PAC ID: 7719873496
Enrollment ID: O20040227000744

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. Nels Davis 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 AddressPractice Location Address
Nels Davis Carroll,
Po Box 743111,
Atlanta, GA 30374-3111

Ph: () -		Nels Davis Carroll,
227 W Janss Rd Ste 340,
Thousand Oaks, CA 91360-1879

Ph: (805) 852-9100

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Thousand Oaks, CA

Aamir S Shah, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 227 W Janss Rd Ste 340, Thousand Oaks, CA 91360
Phone: 805-852-8100    
Dr. Gregory Fontana, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 215 W Janss Rd, Thousand Oaks, CA 91360
Phone: 805-852-9100    
Dr. Philip Angelo Faraci, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 215 W Janss Rd, Thousand Oaks, CA 91360
Phone: 805-852-9100    Fax: 805-852-9101

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.