Mrs Anna Carroll, FNP is a medicare enrolled "Nurse Practitioner - Family" in Adamsville, Tennessee. Her current practice location is
409 Park Ave, Adamsville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 673-6737.
Mrs Anna Carroll is licensed to practice in Tennessee (license number 17508) 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 1104168889.
Provider's Profile
| Full Name | Mrs Anna Carroll |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 409 Park Ave, Adamsville, Tennessee |
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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: 1104168889
- Provider Enumeration Date: 03/20/2013
- Last Update Date: 05/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 9537306170
- Enrollment ID: I20130520000066
Medical Identifiers
Medical identifiers for Mrs Anna Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104168889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 17508 (Tennessee) | 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. Mrs Anna Carroll allows following entities to bill medicare on her behalf.
| Entity Name | Hometown Healthcare Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568972495
PECOS PAC ID: 1456616101
Enrollment ID: O20180529003024 |
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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. Mrs Anna 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 |
|---|
Mrs Anna Carroll, FNP
80 Enoch Blvd, Suite A,
Savannah, TN 38372-2231
Ph: (731) 926-9600 | Mrs Anna Carroll, FNP
409 Park Ave,
Adamsville, TN 38310-2461
Ph: (615) 673-6737 |
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