Carly M Mahon, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Sherman, Mississippi. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Redmed Llc and her current practice location is
670 Highway 178 W Ste 5, Sherman, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 269-2151.
Carly M Mahon is licensed to practice in Mississippi (license number 902291) 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 1215456074.
Provider's Profile
| Full Name | Carly M Mahon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 670 Highway 178 W Ste 5, Sherman, Mississippi |
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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 M Mahon graduated from nursing school in 2017
NPI Data:
- NPI Number: 1215456074
- Provider Enumeration Date: 09/13/2017
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 6507129665
- Enrollment ID: I20180424002445
Medical Identifiers
Medical identifiers for Carly M Mahon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215456074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 902291 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Redmed Llc | 2961633656 | 43 |
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 M Mahon allows following entities to bill medicare on her behalf.
| Entity Name | Redmed Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437589157
PECOS PAC ID: 2961633656
Enrollment ID: O20140321001095 |
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| Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710405741
PECOS PAC ID: 0244505840
Enrollment ID: O20171128003460 |
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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 M Mahon 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 M Mahon, FNP-BC
1147 County Road 193,
Blue Springs, MS 38828-9079
Ph: () - | Carly M Mahon, FNP-BC
670 Highway 178 W Ste 5,
Sherman, MS 38869-7000
Ph: (662) 269-2151 |
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