Dr Kaydee Diana Carroll, FNP in San Tan Valley, AZ

Dr Kaydee Diana Carroll, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Tan Valley, Arizona. Her current practice location is 37100 N Gantzel Rd, San Tan Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 821-3600.

Dr Kaydee Diana Carroll is licensed to practice in Arizona (license number 256053) 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 1255913133.

Contact Information

	Dr Kaydee Diana Carroll, FNP
	37100 N Gantzel Rd, San Tan Valley, AZ 85140-7349
	(480) 821-3600
	(480) 857-2667

Map and Direction

Provider's Profile

Full Name	Dr Kaydee Diana Carroll
Gender	Female
Speciality	Nurse Practitioner - Family
Location	37100 N Gantzel Rd, San Tan Valley, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255913133
Provider Enumeration Date: 04/21/2021
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6608277736
Enrollment ID: I20210628001422

Medical Identifiers

Medical identifiers for Dr Kaydee Diana Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255913133	NPI	-	NPPES
092061	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	833365 (Nevada)	Secondary
363LF0000X	Nurse Practitioner - Family	256053 (Arizona)	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. Dr Kaydee Diana Carroll allows following entities to bill medicare on her behalf.

Entity Name	Momdoc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050

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. Dr Kaydee Diana Carroll 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
Dr Kaydee Diana Carroll, FNP Po Box 6730, Chandler, AZ 85246-6730 Ph: (480) 821-3600	Dr Kaydee Diana Carroll, FNP 37100 N Gantzel Rd, San Tan Valley, AZ 85140-7349 Ph: (480) 821-3600

Reviews and Comments

Nurse Practitioner Nurses in San Tan Valley, AZ

Laura Babb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 480-677-8283
Paige Figa Church, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 480-535-0962
Lisa Wakefield, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1148 W Fruit Tree Ln, San Tan Valley, AZ 85143 Phone: 313-478-8274
Christina Joyave, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37100 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-821-3616
John Cruz Ortiz Jr., ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37000 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-394-4000
Robert Antonio Meyer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37219 N Fossil Butte Ct, San Tan Valley, AZ 85140 Phone: 909-446-6778
Tara L Luke, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143 Phone: 480-677-8282

Dr Kaydee Diana Carroll, FNP - Medicare Nurse Practitioner in San Tan Valley, AZ