Kelly N Carroll, CRNA in Loves Park, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Kelly N Carroll, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Loves Park, Illinois. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Rockford Anesthesiologists Associated Llc and her current practice location is 2202 Harlem Rd, Loves Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 877-4848.

Kelly N Carroll is licensed to practice in Illinois (license number 209.011923) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063815645.

Contact Information

	Kelly N Carroll, CRNA
	2202 Harlem Rd, Loves Park, IL 61111-2754
	(815) 877-4848
	(815) 636-6125

Map and Direction

Provider's Profile

Full Name	Kelly N Carroll
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	2202 Harlem Rd, Loves Park, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly N Carroll graduated from nursing school in 2014

NPI Data:

NPI Number: 1063815645
Provider Enumeration Date: 09/26/2014
Last Update Date: 03/28/2017

Medicare PECOS Information:

PECOS PAC ID: 9436371036
Enrollment ID: I20141115000308

Medical Identifiers

Medical identifiers for Kelly N Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063815645	NPI	-	NPPES
F400175500	Other	IL	MEDICARE PTAN
P01459217	Other	IL	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041.363284 (Illinois)	Secondary
163W00000X	Registered Nurse	172314-30 (Wisconsin)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209.011923 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Katherine Shaw Bethea Hospital	Dixon, IL	Hospital
Swedish American Hospital	Rockford, IL	Hospital
Fhn Memorial Hospital	Freeport, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rockford Anesthesiologists Associated Llc	5597668004	56

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. Kelly N Carroll allows following entities to bill medicare on her behalf.

Entity Name	Midwest Anesthesia Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255380184 PECOS PAC ID: 6204737596 Enrollment ID: O20040120000034

Entity Name	Rockford Anesthesiologists Associated Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629090642 PECOS PAC ID: 5597668004 Enrollment ID: O20040517001037

Entity Name	Midwest Anesthesia Providers Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182

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. Kelly N 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
Kelly N Carroll, CRNA 2202 Harlem Rd, Loves Park, IL 61111-2754 Ph: (815) 877-4848	Kelly N Carroll, CRNA 2202 Harlem Rd, Loves Park, IL 61111-2754 Ph: (815) 877-4848

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Loves Park, IL

Kathleen M. Schroeder, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342
Mr. Lowell S. Wills, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Road, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125
Ronald J. Frenk, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342
Malynnda A. Mueller, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342
Justin Erik Utley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125
Paula M. Dobrowolska, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342
Joni D. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Road, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342

Kelly N Carroll, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Loves Park, IL