Elizabeth Hendrickson Carroll, RN, PMHNP - Medicare Nurse Practitioner in Hudson, OH

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Elizabeth Hendrickson Carroll, RN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hudson, Ohio. Her current practice location is 72 N Main St Ste 207, Hudson, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 294-4408.

Elizabeth Hendrickson Carroll is licensed to practice in Ohio (license number APRN.CNP.12592) 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 1356636914.

Contact Information

Elizabeth Hendrickson Carroll, RN, PMHNP
72 N Main St Ste 207,
Hudson, OH 44236-2867
(330) 294-4408
Not Available

Map and Direction




Provider's Profile

Full NameElizabeth Hendrickson Carroll
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location72 N Main St Ste 207, Hudson, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356636914
  • Provider Enumeration Date: 06/12/2011
  • Last Update Date: 11/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6901038371
  • Enrollment ID: I20140417001001

Medical Identifiers

Medical identifiers for Elizabeth Hendrickson Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356636914NPI-NPPES
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
0103086MedicaidOH
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.12592 (Ohio)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. Elizabeth Hendrickson Carroll allows following entities to bill medicare on her behalf.
Entity NameThe Metrohealth System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053353896
PECOS PAC ID: 8628982949
Enrollment ID: O20031119000355
Entity NameSignature Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679767289
PECOS PAC ID: 8628970985
Enrollment ID: O20040126000762
Entity Name92nd Street Psych Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003614181
PECOS PAC ID: 3971021460
Enrollment ID: O20250519001694

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. Elizabeth Hendrickson 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 AddressPractice Location Address
Elizabeth Hendrickson Carroll, RN, PMHNP
72 N Main St Ste 207,
Hudson, OH 44236-2867

Ph: (330) 294-4408		Elizabeth Hendrickson Carroll, RN, PMHNP
72 N Main St Ste 207,
Hudson, OH 44236-2867

Ph: (330) 294-4408

Reviews and Comments


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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).

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