Ms Carly Rose Wirick, RN, APRN, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Stilwell, Kansas. Her current practice location is
16500 Lamar Ave, Stilwell, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 205-5767.
Ms Carly Rose Wirick is licensed to practice in Kansas (license number 53-76439-101) 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 1760871099.
Provider's Profile
| Full Name | Ms Carly Rose Wirick |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 16500 Lamar Ave, Stilwell, Kansas |
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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: 1760871099
- Provider Enumeration Date: 01/09/2015
- Last Update Date: 01/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 4789902701
- Enrollment ID: I20150422002318
Medical Identifiers
Medical identifiers for Ms Carly Rose Wirick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760871099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 53-76439-101 (Kansas) | 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. Ms Carly Rose Wirick allows following entities to bill medicare on her behalf.
| Entity Name | Kansas University Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003858333
PECOS PAC ID: 8921911587
Enrollment ID: O20040401000328 |
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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. Ms Carly Rose Wirick 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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Ms Carly Rose Wirick, RN, APRN, AGACNP-BC
16500 Lamar,
Stilwell, KS 66085
Ph: () - | Ms Carly Rose Wirick, RN, APRN, AGACNP-BC
16500 Lamar Ave,
Stilwell, KS 66085-8763
Ph: (913) 205-5767 |
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