Mrs Jennifer Gayle Carruth, NP in Acworth, GA

Mrs Jennifer Gayle Carruth, NP is a medicare enrolled "Nurse Practitioner - Family" in Acworth, Georgia. Her current practice location is 1762 Mars Hill Rd Nw, Acworth, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 732-1500.

Mrs Jennifer Gayle Carruth is licensed to practice in Georgia (license number RN178859) 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 1033408331.

Contact Information

	Mrs Jennifer Gayle Carruth, NP
	1762 Mars Hill Rd Nw, Acworth, GA 30101-8091
	(678) 732-1500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Gayle Carruth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1762 Mars Hill Rd Nw, Acworth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033408331
Provider Enumeration Date: 04/07/2011
Last Update Date: 12/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9335325448
Enrollment ID: I20110525000112

Medical Identifiers

Medical identifiers for Mrs Jennifer Gayle Carruth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033408331	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN178859 (Georgia)	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 Jennifer Gayle Carruth allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104088905 PECOS PAC ID: 8921176231 Enrollment ID: O20081014000187

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 Jennifer Gayle Carruth 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 Jennifer Gayle Carruth, NP 472 Bottesford Dr Nw, Kennesaw, GA 30144-7129 Ph: (269) 274-6294	Mrs Jennifer Gayle Carruth, NP 1762 Mars Hill Rd Nw, Acworth, GA 30101-8091 Ph: (678) 732-1500

Reviews and Comments

Nurse Practitioner Nurses in Acworth, GA

Evelyn Onunka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1762 Mars Hill Rd Nw, Acworth, GA 30101 Phone: 713-935-0333
Aminata Barrie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4775 Pastry Ln # 227, Acworth, GA 30101 Phone: 678-357-8171
Teri Pruitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Ivey Rd Nw Ste 1320, Acworth, GA 30101 Phone: 470-267-0870
Jennifer Bush, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Cobb Parkway Nw, Acworth, GA 30301 Phone: 470-956-0150
Erika Mendoza-rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6158 Highway 92, Suite 101, Acworth, GA 30102 Phone: 770-928-8450 Fax: 770-928-8452
Funmilade Oladimeji, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 575 Oakside Pl, Acworth, GA 30102 Phone: 770-241-8091

Mrs Jennifer Gayle Carruth, NP - Medicare Nurse Practitioner in Acworth, GA