Individual ProviderCarol AndrusNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1301 W 38th St, Suite 400, Austin, TX 78705(512) 324-3440PECOS EnrollmentBased on the most recent information from CMS, provider Carol Andrus is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1700915501Provider TypeIndividualFull NameAndrus, CarolTitleMs.CredentialFNPGenderFemaleSole ProprietorNoEnumeration Date3/5/2007Last Updated6/20/2018Contact InformationPractice LocationPractice Address1301 W 38th St, Suite 400, Austin, TX 78705Phone(512) 324-3440Fax(512) 406-6513Mailing LocationMailing Address1301 W 38th St, Suite 400, Austin, TX 78705-1000Phone(512) 324-3440Fax(512) 406-6513Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense602750TexasProvider IdentifiersIDDescriptionIssuerID371424801DescriptionMedicaidIssuerUnlistedTexasID8813MCDescriptionOtherIssuerBCBSTexasID371424802DescriptionMedicaidIssuerUnlistedTexas