Carly Pecoriello Prudic, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bayfield, Colorado. Her current practice location is
480 Wolverine Dr Ste 3, Bayfield, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 764-9150.
Carly Pecoriello Prudic is licensed to practice in Colorado (license number C-APN.0003335-C-NP) 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 1306498860.
Provider's Profile
| Full Name | Carly Pecoriello Prudic |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 480 Wolverine Dr Ste 3, Bayfield, Colorado |
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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 Pecoriello Prudic attended and graduated from in
NPI Data:
- NPI Number: 1306498860
- Provider Enumeration Date: 07/15/2019
- Last Update Date: 07/21/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carly Pecoriello Prudic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306498860 | NPI | - | NPPES |
| 9000198265 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN-79812 (New Mexico) | Secondary |
| 363L00000X | Nurse Practitioner | C-APN.0003335-C-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 568903 (New Mexico) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | C-APN.0003335-C-NP (Colorado) | Primary |
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 Pecoriello Prudic 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 |
|---|
Carly Pecoriello Prudic, FNP-BC
480 Wolverine Dr Ste 3,
Bayfield, CO 81122-9653
Ph: (707) 649-1509 | Carly Pecoriello Prudic, FNP-BC
480 Wolverine Dr Ste 3,
Bayfield, CO 81122-9653
Ph: (970) 764-9150 |
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