Carolyn Jolly, - Medicare Nurse Practitioner in Pismo Beach, CA

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Carolyn Jolly, is a medicare enrolled "Nurse Practitioner" in Pismo Beach, California. She graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Twelvestone Infusion Centers Llc and her current practice location is 877 Oak Park Blvd, Pismo Beach, California. You can reach out to her office (for appointments etc.) via phone at (805) 474-8450.

Carolyn Jolly is licensed to practice in California (license number NP16453) 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 1104839968.

Contact Information

Carolyn Jolly,
877 Oak Park Blvd,
Pismo Beach, CA 93449-3292
(805) 474-8450
Not Available

Map and Direction




Provider's Profile

Full NameCarolyn Jolly
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location877 Oak Park Blvd, Pismo Beach, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carolyn Jolly graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1104839968
  • Provider Enumeration Date: 08/14/2006
  • Last Update Date: 11/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769487016
  • Enrollment ID: I20250310002814

Medical Identifiers

Medical identifiers for Carolyn Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104839968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP16453 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Twelvestone Infusion Centers Llc680015142451

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. Carolyn Jolly allows following entities to bill medicare on her behalf.
Entity NameTwelvestone Infusion Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447764857
PECOS PAC ID: 6800151424
Enrollment ID: O20180601002123

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. Carolyn Jolly 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 AddressPractice Location Address
Carolyn Jolly,
877 Oak Park Blvd,
Pismo Beach, CA 93449-3292

Ph: (805) 474-8450		Carolyn Jolly,
877 Oak Park Blvd,
Pismo Beach, CA 93449-3292

Ph: (805) 474-8450

Reviews and Comments


Nurse Practitioner Nurses in Pismo Beach, CA

Tina Marie Loayza, F.N.P
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449
Phone: 805-474-8450    Fax: 805-474-7169
Ashley Danielle Hook, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 931 Oak Park Blvd Ste 101, Pismo Beach, CA 93449
Phone: 805-574-4037    
Stephanie Madalyn Yoder, MSN, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449
Phone: 805-474-8450    
Ms. Kendra Joelle James, NP-C, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 James Way, Pismo Beach, CA 93449
Phone: 805-295-6594    
Teresa Maria Cordeiro, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2 James Way Ste 209, Pismo Beach, CA 93449
Phone: 805-773-7440    
Elissa Molfino, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 James Way Ste 214, Pismo Beach, CA 93449
Phone: 805-295-6594    Fax: 805-295-6632

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.