Carrol Ann Waddell, FNP is a medicare enrolled "Nurse Practitioner - Family" in Corp Christi, Texas. Her current practice location is
8229 Rock Crest Dr, Corp Christi, Texas. You can reach out to her office (for appointments etc.) via phone at
(830) 444-9427.
Carrol Ann Waddell is licensed to practice in Texas (license number 1012061) 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 1235743105.
Provider's Profile
Full Name | Carrol Ann Waddell |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 8229 Rock Crest Dr, Corp Christi, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235743105
- Provider Enumeration Date: 09/08/2020
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921412339
- Enrollment ID: I20210126002733
Medical Identifiers
Medical identifiers for Carrol Ann Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235743105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 1012061 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1012061 (Texas) | 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. Carrol Ann Waddell allows following entities to bill medicare on her behalf.
Entity Name | Christus Trinity Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
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Entity Name | Abeer A. Kaldas, Md, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790171056 PECOS PAC ID: 1254651862 Enrollment ID: O20150522000068 |
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Entity Name | Nueces Emergency Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346395928 PECOS PAC ID: 0749566628 Enrollment ID: O20170406002637 |
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Entity Name | Cc Doctors Center Portland, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821544396 PECOS PAC ID: 8729467956 Enrollment ID: O20220620000029 |
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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. Carrol Ann Waddell 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 |
Carrol Ann Waddell, FNP 8229 Rock Crest Dr, Corp Christi, TX 78414-6272 Ph: (830) 444-9427 | Carrol Ann Waddell, FNP 8229 Rock Crest Dr, Corp Christi, TX 78414-6272 Ph: (830) 444-9427 |
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