Mrs Carrie Viola Phillips, APRN, FNP is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Forney, Texas. Her current practice location is
9478 Homestead Ln., Forney, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 743-1203.
Mrs Carrie Viola Phillips is licensed to practice in Texas (license number AP138600) 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 1578123402.
Provider's Profile
| Full Name | Mrs Carrie Viola Phillips |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Family Health |
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| Location | 9478 Homestead Ln., Forney, Texas |
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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: 1578123402
- Provider Enumeration Date: 06/13/2019
- Last Update Date: 06/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 9436562584
- Enrollment ID: I20210108001165
Medical Identifiers
Medical identifiers for Mrs Carrie Viola Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578123402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SF0001X | Clinical Nurse Specialist - Family Health | AP138600 (Texas) | 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 Carrie Viola Phillips allows following entities to bill medicare on her behalf.
| Entity Name | Dallas Medical Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033551312
PECOS PAC ID: 7517194491
Enrollment ID: O20131223000191 |
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| Entity Name | Small Hospital Innovations Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184040560
PECOS PAC ID: 0840415444
Enrollment ID: O20220124000512 |
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| Entity Name | Ies Central Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003523002
PECOS PAC ID: 3476922576
Enrollment ID: O20221213000355 |
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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 Carrie Viola Phillips 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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Mrs Carrie Viola Phillips, APRN, FNP
9478 Homestead Ln.,
Forney, TX 75126
Ph: (972) 743-1203 | Mrs Carrie Viola Phillips, APRN, FNP
9478 Homestead Ln.,
Forney, TX 75126
Ph: (972) 743-1203 |
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