Mrs Jennifer Kelly Williams Carroll, PA-C in Salisbury, NC

Mrs Jennifer Kelly Williams Carroll, PA-C is a medicare enrolled "Physician Assistant" in Salisbury, North Carolina. Her current practice location is 612 Mocksville Ave, Rowan Regional Medical Center- Novant Health, Salisbury, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 644-9290.

Mrs Jennifer Kelly Williams Carroll is licensed to practice in North Carolina (license number 0010-01533) 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 1205086006.

Contact Information

	Mrs Jennifer Kelly Williams Carroll, PA-C
	612 Mocksville Ave, Rowan Regional Medical Center- Novant Health, Salisbury, NC 28144-8402
	(704) 644-9290
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Kelly Williams Carroll
Gender	Female
Speciality	Physician Assistant
Location	612 Mocksville Ave, Salisbury, 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: 1205086006
Provider Enumeration Date: 09/29/2008
Last Update Date: 10/10/2014

Medicare PECOS Information:

PECOS PAC ID: 9032266929
Enrollment ID: I20090410000122

Medical Identifiers

Medical identifiers for Mrs Jennifer Kelly Williams Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205086006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0010-01533 (North Carolina)	Primary

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 Kelly Williams 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 Jennifer Kelly Williams Carroll, PA-C 612 Mocksville Ave, Rowan Regional Medical Center- Novant Heath, Salisbury, NC 28144-8402 Ph: (704) 644-9290	Mrs Jennifer Kelly Williams Carroll, PA-C 612 Mocksville Ave, Rowan Regional Medical Center- Novant Health, Salisbury, NC 28144-8402 Ph: (704) 644-9290

Reviews and Comments

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Mrs Jennifer Kelly Williams Carroll, PA-C - Medicare Physician Assistant in Salisbury, NC