Ms Carolyn Sue Canterbury, NP in Montgomery City, MO

Ms Carolyn Sue Canterbury, NP is a medicare enrolled "Nurse Practitioner - Family" in Montgomery City, Missouri. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice East Central Missouri Behavioral Health Services, Inc. and her current practice location is 1225 Aguilar Dr, Montgomery City, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 582-1234.

Ms Carolyn Sue Canterbury is licensed to practice in Missouri (license number 2010033156) 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 1942510102.

Contact Information

	Ms Carolyn Sue Canterbury, NP
	1225 Aguilar Dr, Montgomery City, MO 63361-2723
	(573) 582-1234
	(573) 582-1212

Map and Direction

Provider's Profile

Full Name	Ms Carolyn Sue Canterbury
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	1225 Aguilar Dr, Montgomery City, 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:

Ms Carolyn Sue Canterbury graduated from nursing school in 2010

NPI Data:

NPI Number: 1942510102
Provider Enumeration Date: 10/20/2010
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 1951598838
Enrollment ID: I20101203000777

Medical Identifiers

Medical identifiers for Ms Carolyn Sue Canterbury such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942510102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2010033156 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hermann Area District Hospital	Hermann, MO	Hospital
Boone Hospital Center	Columbia, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Central Missouri Behavioral Health Services, Inc.	5395659403	8

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 Carolyn Sue Canterbury allows following entities to bill medicare on her behalf.

Entity Name	East Central Missouri Behavioral Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501

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 Carolyn Sue Canterbury 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
Ms Carolyn Sue Canterbury, NP 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234	Ms Carolyn Sue Canterbury, NP 1225 Aguilar Dr, Montgomery City, MO 63361-2723 Ph: (573) 582-1234

Reviews and Comments

Nurse Practitioner Nurses in Montgomery City, MO

Kristina Boylan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Pickering St, Montgomery City, MO 63361 Phone: 573-564-2101 Fax: 573-564-2130
Holly Thomas, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Aguilar Dr, Montgomery City, MO 63361 Phone: 573-582-1234 Fax: 573-582-1212
Mary Ellen Shanks, APRN,BC,FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 504 N Sturgeon St, Montgomery City, MO 63361 Phone: 573-564-2990 Fax: 573-564-2963
Londa Y Swoboda, FNP, BSN, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 E 1st St, Montgomery City, MO 63361 Phone: 573-564-3214 Fax: 573-564-3216
Mrs. Diana L Gibbs, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Salisbury St, Montgomery City, MO 63361 Phone: 573-564-2495 Fax: 573-564-5059

Ms Carolyn Sue Canterbury, NP - Medicare Nurse Practitioner in Montgomery City, MO