Carlyn Newell, is a medicare enrolled "Clinical Nurse Specialist - Gerontology" in Olympia Fields, Illinois. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Specialty Physicians Of Illinois Llc and her current practice location is
3800 W 203rd St Ste 202, Olympia Fields, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 852-2699.
Carlyn Newell is licensed to practice in Illinois (license number 209025274) 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 1649998139.
Provider's Profile
| Full Name | Carlyn Newell |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 4 Years |
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| Location | 3800 W 203rd St Ste 202, Olympia Fields, Illinois |
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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:
- Carlyn Newell graduated from nursing school in 2021
NPI Data:
- NPI Number: 1649998139
- Provider Enumeration Date: 08/19/2022
- Last Update Date: 11/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587034095
- Enrollment ID: I20221227002518
Medical Identifiers
Medical identifiers for Carlyn Newell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649998139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2200X | Clinical Nurse Specialist - Adult Health | 209025274 (Illinois) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 041388238 (Illinois) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 209025274 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Specialty Physicians Of Illinois Llc | 4183529456 | 111 |
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. Carlyn Newell allows following entities to bill medicare on her behalf.
| Entity Name | Specialty Physicians Of Illinois Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124075676
PECOS PAC ID: 4183529456
Enrollment ID: O20031201000602 |
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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. Carlyn Newell 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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Carlyn Newell,
35318 Eagle Way,
Chicago, IL 60678-1353
Ph: (317) 528-4800 | Carlyn Newell,
3800 W 203rd St Ste 202,
Olympia Fields, IL 60461-1185
Ph: (708) 852-2699 |
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