Mr Charles Wayne Carroll, NP in Rogersville, TN

Mr Charles Wayne Carroll, NP is a medicare enrolled "Nurse Practitioner - Family" in Rogersville, Tennessee. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellmont Medical Associates Inc, Blue Ridge Medical Management Corporation and his current practice location is 405 Scenic Dr Ste A, Rogersville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 921-3490.

Mr Charles Wayne Carroll is licensed to practice in Tennessee (license number 30647) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043962541.

Contact Information

	Mr Charles Wayne Carroll, NP
	405 Scenic Dr Ste A, Rogersville, TN 37857-2441
	(423) 921-3490
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Charles Wayne Carroll
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	405 Scenic Dr Ste A, Rogersville, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Charles Wayne Carroll graduated from nursing school in 2021

NPI Data:

NPI Number: 1043962541
Provider Enumeration Date: 01/25/2022
Last Update Date: 02/22/2025

Medicare PECOS Information:

PECOS PAC ID: 5597158808
Enrollment ID: I20220209002123

Medical Identifiers

Medical identifiers for Mr Charles Wayne Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043962541	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	30647 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellmont Medical Associates Inc	8123291739	423
Blue Ridge Medical Management Corporation	9739099441	306

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. Mr Charles Wayne Carroll allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

Entity Name	Tri-cities Regional Emergency Physicians, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399

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. Mr Charles Wayne 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
Mr Charles Wayne Carroll, NP 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111	Mr Charles Wayne Carroll, NP 405 Scenic Dr Ste A, Rogersville, TN 37857-2441 Ph: (423) 921-3490

Reviews and Comments

Nurse Practitioner Nurses in Rogersville, TN

Ms. Joanne D Irvin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4966 Highway 11w, Hawkins Medical Center, Rogersville, TN 37857 Phone: 423-272-5600 Fax: 423-272-1428
Natalie Jewel Price, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4307 Highway 66 S, Rogersville, TN 37857 Phone: 423-921-1600 Fax: 423-921-1681
Tammy Baird, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Scenic Dr, Rogersville, TN 37857 Phone: 423-272-2111 Fax: 423-224-3233
Mrs. Katrina F Holder, FNP/ PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Lena Dr, Rogersville, TN 37857 Phone: 423-272-9239 Fax: 423-272-1803
Mrs. Brooke Jones Popplewell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Forest Hills Rd, Rogersville, TN 37857 Phone: 423-754-1326
Samuel Brown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4307 Highway 66 S, Rogersville, TN 37857 Phone: 423-921-1600 Fax: 423-921-1677

Mr Charles Wayne Carroll, NP - Medicare Nurse Practitioner in Rogersville, TN