Nicole Carroll, DO - Medicare Family Practice in Shippenville, PA

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Nicole Carroll, DO is a medicare enrolled "Family Medicine" physician in Shippenville, Pennsylvania. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2009 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Phoenix Rehabilitation And Health Services Inc, Butler Medical Providers and her current practice location is 21159 Paint Blvd, Suite 2, Shippenville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 226-6770.

Nicole Carroll is licensed to practice in Pennsylvania (license number OS015672) 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 1649593500.

Contact Information

Nicole Carroll, DO
21159 Paint Blvd, Suite 2,
Shippenville, PA 16254-4023
(814) 226-6770
Not Available

Map and Direction




Physician's Profile

Full NameNicole Carroll
GenderFemale
SpecialityFamily Practice
Experience16 Years
Location21159 Paint Blvd, Shippenville, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Carroll attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2009
  NPI Data:
  • NPI Number: 1649593500
  • Provider Enumeration Date: 03/08/2010
  • Last Update Date: 07/10/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5597937862
  • Enrollment ID: I20111010000254

Medical Identifiers

Medical identifiers for Nicole Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649593500NPI-NPPES
1026314130003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS015672 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clarion Forest Vna IncClarion, PAHome health agency
Clarion HospitalClarion, PAHospital
Upmc NorthwestSeneca, PAHospital
Butler Memorial HospitalButler, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phoenix Rehabilitation And Health Services Inc34764642981824
Butler Medical Providers7416840160314

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. Nicole Carroll allows following entities to bill medicare on her behalf.
Entity NameButler Medical Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619493046
PECOS PAC ID: 7416840160
Enrollment ID: O20040205000830

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. Nicole 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
Nicole Carroll, DO
121 Doctors Ln,
Clarion, PA 16214-8515

Ph: (814) 226-3470		Nicole Carroll, DO
21159 Paint Blvd, Suite 2,
Shippenville, PA 16254-4023

Ph: (814) 226-6770

Reviews and Comments


Family Medicine Doctors in Shippenville, PA

Janice Marie Kenneson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21159 Paint Blvd, Suite 2, Shippenville, PA 16254
Phone: 814-226-6770    Fax: 814-226-1015
Ashley Nicole Kunselman, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21159 Paint Blvd, Suite 2, Shippenville, PA 16254
Phone: 814-226-6770    Fax: 814-226-1015

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.