Mrs Lisa Renee Carroll, in Poplar Bluff, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Lisa Renee Carroll, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Poplar Bluff, Missouri. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Capital Anesthesia Solutions Of Missouri, Llc and her current practice location is 2620 N Westwood Blvd, Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 785-7721.

Mrs Lisa Renee Carroll is licensed to practice in Missouri (license number 146572) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770851743.

Contact Information

	Mrs Lisa Renee Carroll,
	2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
	(573) 785-7721
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Renee Carroll
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	2620 N Westwood Blvd, Poplar Bluff, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Lisa Renee Carroll graduated from nursing school in 2011

NPI Data:

NPI Number: 1770851743
Provider Enumeration Date: 12/06/2011
Last Update Date: 12/06/2011

Medicare PECOS Information:

PECOS PAC ID: 6800055682
Enrollment ID: I20120314000554

Medical Identifiers

Medical identifiers for Mrs Lisa Renee Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770851743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	146572 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Poplar Bluff Regional Medical Center	Poplar bluff, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Capital Anesthesia Solutions Of Missouri, Llc	1456764885	22

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 Lisa Renee Carroll allows following entities to bill medicare on her behalf.

Entity Name	Clinical Colleagues Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20130507000341

Entity Name	Capital Anesthesia Solutions Of Missouri, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560

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 Lisa Renee 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 Lisa Renee Carroll, 208 Hunter Rd, Poplar Bluff, MO 63901-7486 Ph: (573) 778-9214	Mrs Lisa Renee Carroll, 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 Ph: (573) 785-7721

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Poplar Bluff, MO

Ms. Shirley A Jautz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 221 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-727-9080
Joshua Ryan Morse, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000
Shane D Faltys, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-718-2710
Timothy Paul Kordick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4111
Roger Dean Faltys, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-727-2295
Mr. Glenn Dean Carlton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 621 W Pine St, Poplar Bluff, MO 63901 Phone: 573-686-4111
Mr. Richard Leroy Crayton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721

Mrs Lisa Renee Carroll, - Medicare Certified Registered Nurse Anesthetist (crna) in Poplar Bluff, MO