Mrs Carly Anne Peeler Regan, NP-C in Clemmons, NC

Mrs Carly Anne Peeler Regan, NP-C is a medicare enrolled "Nurse Practitioner" in Clemmons, North Carolina. Her current practice location is 6915 Village Medical Cir, Clemmons, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 718-1680.

Mrs Carly Anne Peeler Regan is licensed to practice in North Carolina (license number 5005579) 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 1104192533.

Contact Information

	Mrs Carly Anne Peeler Regan, NP-C
	6915 Village Medical Cir, Clemmons, NC 27012-8002
	(336) 718-1680
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Carly Anne Peeler Regan
Gender	Female
Speciality	Nurse Practitioner
Location	6915 Village Medical Cir, Clemmons, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104192533
Provider Enumeration Date: 03/29/2012
Last Update Date: 03/11/2022

Medicare PECOS Information:

PECOS PAC ID: 6608039888
Enrollment ID: I20120525000543

Medical Identifiers

Medical identifiers for Mrs Carly Anne Peeler Regan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104192533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	5005579 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5005579 (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. Mrs Carly Anne Peeler Regan allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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 Carly Anne Peeler Regan 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 Carly Anne Peeler Regan, NP-C Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 718-1680	Mrs Carly Anne Peeler Regan, NP-C 6915 Village Medical Cir, Clemmons, NC 27012-8002 Ph: (336) 718-1680

Reviews and Comments

Nurse Practitioner Nurses in Clemmons, NC

Stephanie Draker, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6915 Village Medical Cir, Clemmons, NC 27012 Phone: 336-718-1680 Fax: 336-718-1681
Jeanine Baskin, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6371 Jessie Ln, Clemmons, NC 27012 Phone: 336-740-9659
Bethany Rena Low, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6301 Stadium Dr Ste 500, Clemmons, NC 27012 Phone: 336-766-6473 Fax: 336-766-8909
Mrs. Phyllis Patricia Coconis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2554 Lewisville-clemmons Rd, Ste 109, Clemmons, NC 27012 Phone: 704-766-1000 Fax: 704-766-1002
Mrs. Rhonda Wallace Dixon, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4130 Clemmons Rd, Clemmons, NC 27012 Phone: 336-765-5470 Fax: 336-499-5428
Ronda Renee Wright, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-766-0324

Mrs Carly Anne Peeler Regan, NP-C - Medicare Nurse Practitioner in Clemmons, NC