Carly Elizabeth Coelho, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Riverdale, California. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Oak Creek Anesthesia Services, Inc. and her current practice location is
3281 W Tiger Ave, Riverdale, California. You can reach out to her office (for appointments etc.) via phone at
(480) 478-5502.
Carly Elizabeth Coelho is licensed to practice in California (license number NA95001972) 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 1023689874.
Provider's Profile
| Full Name | Carly Elizabeth Coelho |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 3281 W Tiger Ave, Riverdale, California |
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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:
- Carly Elizabeth Coelho graduated from nursing school in 2022
NPI Data:
- NPI Number: 1023689874
- Provider Enumeration Date: 07/02/2021
- Last Update Date: 02/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113390717
- Enrollment ID: I20230301002500
Medical Identifiers
Medical identifiers for Carly Elizabeth Coelho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023689874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 95109836 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA95001972 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oak Creek Anesthesia Services, Inc. | 9739509407 | 55 |
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. Carly Elizabeth Coelho allows following entities to bill medicare on her behalf.
| Entity Name | Oak Creek Anesthesia Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619589512
PECOS PAC ID: 9739509407
Enrollment ID: O20201019001247 |
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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. Carly Elizabeth Coelho 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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Carly Elizabeth Coelho,
3281 W Tiger Ave,
Riverdale, CA 93656-9763
Ph: (480) 478-5502 | Carly Elizabeth Coelho,
3281 W Tiger Ave,
Riverdale, CA 93656-9763
Ph: (480) 478-5502 |
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