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

Carolyn Jolly, is a medicare enrolled "Nurse Practitioner" in Pismo Beach, California. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pacific Central Coast Health Centers 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 Name	Carolyn Jolly
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	877 Oak Park Blvd, Pismo Beach, California
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:

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: I20060920000468

Medical Identifiers

Medical identifiers for Carolyn Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104839968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP16453 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marian Regional Medical Center	Santa maria, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pacific Central Coast Health Centers	9739091364	213

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 Name	Pacific Central Coast Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443

Entity Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458

Entity Name	Mmc Emergency Physicians Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285670406 PECOS PAC ID: 7911809215 Enrollment ID: O20040927001225

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 Address	Practice 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
Stephanie Madalyn Yoder, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled 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
Kelly C Jenei, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 James Way, 209, Pismo Beach, CA 93449 Phone: 805-773-7440 Fax: 805-773-7448
Elissa Molfino, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 James Way Ste 214, Pismo Beach, CA 93449 Phone: 805-295-6594 Fax: 805-295-6632

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