Michael J Carroll, PA is a medicare enrolled "Pain Medicine - Pain Medicine" in Greensboro, North Carolina. His current practice location is
3402 Battleground Ave, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 883-0029.
Michael J Carroll is licensed to practice in North Carolina (license number 101656) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235304205.
Provider's Profile
| Full Name | Michael J Carroll |
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| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 3402 Battleground Ave, Greensboro, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235304205
- Provider Enumeration Date: 04/29/2008
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315192689
- Enrollment ID: I20130313000159
Medical Identifiers
Medical identifiers for Michael J Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235304205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 101656 (North Carolina) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 101656 (North Carolina) | 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. Michael J Carroll allows following entities to bill medicare on his behalf.
| Entity Name | Bethany Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952404188
PECOS PAC ID: 4486614575
Enrollment ID: O20041013000729 |
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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. Michael J 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 |
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Michael J Carroll, PA
645 N Main St,
High Point, NC 27260-5017
Ph: (336) 883-0029 | Michael J Carroll, PA
3402 Battleground Ave,
Greensboro, NC 27410
Ph: (336) 883-0029 |
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