Carisa M Sutherland, MD in Charlotte, NC

Carisa M Sutherland, MD is a medicare enrolled "Pediatrics" physician in Charlotte, North Carolina. Her current practice location is 231 S Sharon Amity Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 304-6400.

Carisa M Sutherland is licensed to practice in North Carolina (license number 2007-00120) 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 1639194764.

Contact Information

	Carisa M Sutherland, MD
	231 S Sharon Amity Rd, Charlotte, NC 28211-2803
	(704) 304-6400
	(704) 442-7021

Map and Direction

Physician's Profile

Full Name	Carisa M Sutherland
Gender	Female
Speciality	Pediatrics
Location	231 S Sharon Amity Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639194764
Provider Enumeration Date: 07/12/2006
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 6800869496
Enrollment ID: I20070710000543

Medical Identifiers

Medical identifiers for Carisa M Sutherland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639194764	NPI	-	NPPES
N0012B	Medicaid	SC
1639194764	Medicaid	NC
5906365	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	2007-00120 (North Carolina)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	2007-00120 (North Carolina)	Secondary
208000000X	Pediatrics	2007-00120 (North Carolina)	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. Carisa M Sutherland allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679528384 PECOS PAC ID: 1153234893 Enrollment ID: O20060828000304

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. Carisa M Sutherland 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
Carisa M Sutherland, MD Po Box 602148, Charlotte, NC 28260-2148 Ph: (704) 304-6400	Carisa M Sutherland, MD 231 S Sharon Amity Rd, Charlotte, NC 28211-2803 Ph: (704) 304-6400

Reviews and Comments

Pediatrics Doctors in Charlotte, NC

Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840
Fnu Pardeep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905
Donald Shelton Chapman Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 231 S Sharon Amity Rd, Charlotte, NC 28211 Phone: 704-304-6400

Carisa M Sutherland, MD - Medicare Pediatrics in Charlotte, NC