Kristen Decarlo, FNP-C is a medicare enrolled "Nurse Practitioner" in Dallas, West Virginia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice West Virginia University Medical Corporation, Reynolds Memorial Hospital, Inc and her current practice location is
4935 Stone Church Rd, Dallas, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 547-5566.
Kristen Decarlo is licensed to practice in West Virginia (license number APRN74352NP) 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 1881004323.
Provider's Profile
| Full Name | Kristen Decarlo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 4935 Stone Church Rd, Dallas, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristen Decarlo graduated from nursing school in 2014
NPI Data:
- NPI Number: 1881004323
- Provider Enumeration Date: 05/06/2014
- Last Update Date: 07/14/2014
Medicare PECOS Information:
- PECOS PAC ID: 5092031153
- Enrollment ID: I20150307000169
Medical Identifiers
Medical identifiers for Kristen Decarlo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881004323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | APRN74352NP (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| West Virginia University Medical Corporation | 1052224565 | 1613 |
| Reynolds Memorial Hospital, Inc | 9830184530 | 122 |
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. Kristen Decarlo allows following entities to bill medicare on her behalf.
| Entity Name | West Virginia University Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207 |
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| Entity Name | Reynolds Memorial Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518068014
PECOS PAC ID: 9830184530
Enrollment ID: O20040420000896 |
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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. Kristen Decarlo 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 |
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Kristen Decarlo, FNP-C
4935 Stone Church Rd,
Dallas, WV 26036-1131
Ph: (304) 547-5566 | Kristen Decarlo, FNP-C
4935 Stone Church Rd,
Dallas, WV 26036-1131
Ph: (304) 547-5566 |
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