Carol Ann Wynn, is a medicare enrolled "Nurse Practitioner - Family" in Berryville, Arkansas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Health Northwest Arkansas Communities and her current practice location is
207 Carter St, Berryville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 438-5216.
Carol Ann Wynn is licensed to practice in Arkansas (license number 214692) 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 1750961785.
Provider's Profile
Full Name | Carol Ann Wynn |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner |
---|
Experience | 4 Years |
---|
Location | 207 Carter St, Berryville, Arkansas |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carol Ann Wynn graduated from nursing school in 2020
NPI Data:
- NPI Number: 1750961785
- Provider Enumeration Date: 04/13/2021
- Last Update Date: 08/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850793837
- Enrollment ID: I20210713003411
Medical Identifiers
Medical identifiers for Carol Ann Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750961785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2021004782 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 214692 (Arkansas) | Primary |
163W00000X | Registered Nurse | R072762 (Arkansas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mercy Health Northwest Arkansas Communities | 0648177873 | 265 |
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. Carol Ann Wynn allows following entities to bill medicare on her behalf.
Entity Name | Mercy Health Northwest Arkansas Communities |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
---|
Entity Name | Boston Mountain Rural Health Center, Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1720096027 PECOS PAC ID: 3870401722 Enrollment ID: O20040701000737 |
---|
Entity Name | Mercy Clinic Springfield Communities |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1720022510 PECOS PAC ID: 7416865845 Enrollment ID: O20090626000412 |
---|
Entity Name | Signify Health Medical Associates Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365 |
---|
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. Carol Ann Wynn 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 |
Carol Ann Wynn, 207 Carter St, Berryville, AR 72616-4303 Ph: (870) 438-5216 | Carol Ann Wynn, 207 Carter St, Berryville, AR 72616-4303 Ph: (870) 438-5216 |
Reviews and Comments