Carolyn Simmons Gaeckle, PMHNP in Northfield, VT

Carolyn Simmons Gaeckle, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Northfield, Vermont. Her current practice location is 454 Freeman Rd, Northfield, Vermont. You can reach out to her office (for appointments etc.) via phone at (302) 332-6021.

Carolyn Simmons Gaeckle is licensed to practice in Vermont (license number 101.0136910) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962266387.

Contact Information

	Carolyn Simmons Gaeckle, PMHNP
	454 Freeman Rd, Northfield, VT 05663-6230
	(302) 332-6021
	Not Available

Map and Direction

Provider's Profile

Full Name	Carolyn Simmons Gaeckle
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	454 Freeman Rd, Northfield, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962266387
Provider Enumeration Date: 02/07/2024
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 3072055748
Enrollment ID: I20240610001566

Medical Identifiers

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

Identifier	Type	State	Issuer
1962266387	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	101.0136910 (Vermont)	Primary

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 Simmons Gaeckle allows following entities to bill medicare on her behalf.

Entity Name	Long Trail Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043083652 PECOS PAC ID: 8527402429 Enrollment ID: O20240220000284

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 Simmons Gaeckle 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 Simmons Gaeckle, PMHNP Po Box 344, Waterbury Center, VT 05677-0344 Ph: (302) 332-6021	Carolyn Simmons Gaeckle, PMHNP 454 Freeman Rd, Northfield, VT 05663-6230 Ph: (302) 332-6021

Reviews and Comments

Nurse Practitioner Nurses in Northfield, VT

Jamie D Bariteau, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 71 Richardson St, Northfield, VT 05663 Phone: 802-485-3161 Fax: 802-485-6307
Debra Maloney-evans, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 Phone: 802-485-4161 Fax: 802-485-4163
Nancy Peters Sullivan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 87 Paine Mountain Dr, Northfield, VT 05663 Phone: 802-485-4161 Fax: 802-485-4163
Loretta B. Charles, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 Phone: 802-485-4161 Fax: 802-485-4163

Carolyn Simmons Gaeckle, PMHNP - Medicare Nurse Practitioner in Northfield, VT