Kathleen Leah Carroll, APN in Boerne, TX - Medicare Nurse Practitioner

Kathleen Leah Carroll, APN is a medicare enrolled "Nurse Practitioner - Gerontology" in Boerne, Texas. Her current practice location is 113 Pleasant Valley Dr Ste 210, Boerne, Texas. You can reach out to her office (for appointments etc.) via phone at (830) 267-4575.

Kathleen Leah Carroll is licensed to practice in Texas (license number AP115115) 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 1477577567.

Contact Information

	Kathleen Leah Carroll, APN
	113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683
	(830) 267-4575
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathleen Leah Carroll
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	113 Pleasant Valley Dr Ste 210, Boerne, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477577567
Provider Enumeration Date: 07/26/2006
Last Update Date: 02/05/2020

Medicare PECOS Information:

PECOS PAC ID: 6709882723
Enrollment ID: I20061016000304

Medical Identifiers

Medical identifiers for Kathleen Leah Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477577567	NPI	-	NPPES
182691901	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	516229 (Texas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP115115 (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. Kathleen Leah Carroll allows following entities to bill medicare on her behalf.

Entity Name	Centric Physicians Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073907184 PECOS PAC ID: 1951614726 Enrollment ID: O20150722005727

Entity Name	Centric Physicians El Paso Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558871368 PECOS PAC ID: 6204197890 Enrollment ID: O20180222000658

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. Kathleen Leah 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
Kathleen Leah Carroll, APN 113 Pleasant Valley Dr, Ste 210, Boerne, TX 78006-5683 Ph: (830) 267-4575	Kathleen Leah Carroll, APN 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 Ph: (830) 267-4575

Reviews and Comments

Nurse Practitioner Nurses in Boerne, TX

Katherine Lamar Santovena, MSN, WHNP-BC, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 430 W Bandera Rd Ste 9, Boerne, TX 78006 Phone: 210-233-7000 Fax: 830-816-2103
Mr. Manuel R Flores, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34910 Interstate 10 W Ste 301, Boerne, TX 78006 Phone: 210-202-0250 Fax: 866-546-3513
Mrs. Amanda Stephenson Reyes, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 Old San Antonio Rd Ste 201, Boerne, TX 78006 Phone: 830-267-4575
Linni Angelique Foye-aufdenberg, APRN, RN, LMT Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Falls Ct Ste 100, Boerne, TX 78006 Phone: 830-249-3800 Fax: 830-249-0882
Jacqueline Murley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Falls Ct, Suite 300, Boerne, TX 78006 Phone: 830-249-1700
Lisa Archer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29607 Terra Bella, Boerne, TX 78015 Phone: 210-284-2787
Ms. Amanda Suzanne Patton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1102 River Rd, Boerne, TX 78006 Phone: 210-387-6809

Kathleen Leah Carroll, APN - Medicare Nurse Practitioner in Boerne, TX