Mrs Carolyn L Mendiola Fruge, MSN AGNP - Medicare Nurse Practitioner in Tamuning, GU

Mrs Carolyn L Mendiola Fruge, MSN AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Tamuning, Guam. Her current practice location is 1244 N Marine Corps Dr, Tamuning, Guam. You can reach out to her office (for appointments etc.) via phone at (671) 647-8262.

Mrs Carolyn L Mendiola Fruge is licensed to practice in Guam (license number NP-0198) 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 1205490992.

Contact Information

Mrs Carolyn L Mendiola Fruge, MSN AGNP
1244 N Marine Corps Dr,
Tamuning, GU 96913-4308
(671) 647-8262
(671) 647-5252



Provider's Profile

Full NameMrs Carolyn L Mendiola Fruge
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location1244 N Marine Corps Dr, Tamuning, Guam
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205490992
  • Provider Enumeration Date: 04/28/2019
  • Last Update Date: 04/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1254661416
  • Enrollment ID: I20191001002701

Medical Identifiers

Medical identifiers for Mrs Carolyn L Mendiola Fruge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205490992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology NP-0198 (Guam)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 Carolyn L Mendiola Fruge allows following entities to bill medicare on her behalf.
Entity NameAmerican Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457329849
PECOS PAC ID: 1759311699
Enrollment ID: O20050819000498

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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. Mrs Carolyn L Mendiola Fruge 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 AddressPractice Location Address
Mrs Carolyn L Mendiola Fruge, MSN AGNP
Po Box 7358,
Agat, GU 96928-0358

Ph: (671) 487-1927
Mrs Carolyn L Mendiola Fruge, MSN AGNP
1244 N Marine Corps Dr,
Tamuning, GU 96913-4308

Ph: (671) 647-8262

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Nurse Practitioner Nurses in Tamuning, GU

Diane M Hiatt, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 388 Ypao Rd, Tamuning, GU 96913
Phone: 671-646-8881    Fax: 671-646-1292
Marvin Nogoy, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 633 Gov Carlos G Camacho Rd Ste 210, Tamuning, GU 96913
Phone: 671-649-1001    Fax: 671-649-1002
Bannuar Emmanuel Tomboc Quiaoit, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 125 Tun Jesus Crisostomo St Ste 104, Tamuning, GU 96913
Phone: 671-649-8638    
Ms. Elena Kirilova Taneva-cholakova, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 388 Ypao Rd, Tamuning, GU 96913
Phone: 671-646-8881    
Shion Shironishi,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 388 Ypao Rd, Tamuning, GU 96913
Phone: 671-864-7666    
Mrs. Lucy Marie Cruz Iona, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 388 Ypao Rd, Tamuning, GU 96913
Phone: 671-646-8881    Fax: 671-646-1292

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