Leah Carrasquillo, FNP is a medicare enrolled "Nurse Practitioner - Family" in Southampton, Massachusetts. Her current practice location is
6 Parc Pl, Southampton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 529-9282.
Leah Carrasquillo is licensed to practice in Massachusetts (license number 276672) 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 1427243039.
Provider's Profile
| Full Name | Leah Carrasquillo |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 6 Parc Pl, Southampton, Massachusetts |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1427243039
- Provider Enumeration Date: 09/07/2007
- Last Update Date: 07/02/2008
Medicare PECOS Information:
- PECOS PAC ID: 8426146929
- Enrollment ID: I20071116000508
Medical Identifiers
Medical identifiers for Leah Carrasquillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427243039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 276672 (Massachusetts) | 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. Leah Carrasquillo allows following entities to bill medicare on her behalf.
| Entity Name | Cd Practice Associates Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295787919
PECOS PAC ID: 2567359839
Enrollment ID: O20040302000290 |
|---|
| Entity Name | Cooley Dickinson Hospital Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477596310
PECOS PAC ID: 8123090560
Enrollment ID: O20040806001098 |
|---|
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. Leah Carrasquillo 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 |
|---|
Leah Carrasquillo, FNP
6 Parc Place, Nashawannuck Internal Medicine,
Southampton, MA 01073
Ph: (413) 529-9282 | Leah Carrasquillo, FNP
6 Parc Pl,
Southampton, MA 01073-9277
Ph: (413) 529-9282 |
Reviews and Comments