Jelisa Carroll, in Brunswick, GA - Medicare Family Practice

Jelisa Carroll, is a medicare enrolled "Family Medicine" physician in Brunswick, Georgia. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cooperative Healthcare Services, Inc. and her current practice location is 2916 Glynn Ave, Brunswick, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 466-5850.

Jelisa Carroll is licensed to practice in Georgia (license number 86289) 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 1396271292.

Contact Information

	Jelisa Carroll,
	2916 Glynn Ave, Brunswick, GA 31520-4844
	(912) 466-5850
	(912) 267-7139

Map and Direction

Physician's Profile

Full Name	Jelisa Carroll
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	2916 Glynn Ave, Brunswick, Georgia
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:

Jelisa Carroll attended and graduated from Philadelphia College Of Osteopathic Medicine in 2013

NPI Data:

NPI Number: 1396271292
Provider Enumeration Date: 05/11/2017
Last Update Date: 07/12/2024

Medicare PECOS Information:

PECOS PAC ID: 9537583869
Enrollment ID: I20200721000427

Medical Identifiers

Medical identifiers for Jelisa Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396271292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	86289 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Savannah, GA	Home health agency
Southeast Georgia Health System -- Camden Campus	Saint marys, GA	Hospital
Southeast Georgia Health System- Brunswick Campus	Brunswick, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cooperative Healthcare Services, Inc.	9830093640	175

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. Jelisa Carroll allows following entities to bill medicare on her behalf.

Entity Name	Cooperative Healthcare Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222

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. Jelisa Carroll 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
Jelisa Carroll, 2916 Glynn Ave, Brunswick, GA 31520-4844 Ph: (921) 466-5850	Jelisa Carroll, 2916 Glynn Ave, Brunswick, GA 31520-4844 Ph: (912) 466-5850

Reviews and Comments

Family Medicine Doctors in Brunswick, GA

Scott C Clay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3222 Shrine Rd Ste A, Brunswick, GA 31520 Phone: 912-264-6303 Fax: 912-264-0042
Yoshi T Graham, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coastal Village Dr, Brunswick, GA 31520 Phone: 866-557-9955
Dr. James J Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 118 Northpark Dr, Brunswick, GA 31520 Phone: 912-268-4994 Fax: 912-434-9096
Ms. Bianca Rae Pope, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3212 Shrine Rd, Brunswick, GA 31520 Phone: 912-289-7004 Fax: 912-289-7004
James Walter Greene, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3215 Shrine Rd Ste 3, Brunswick, GA 31520 Phone: 912-434-9164 Fax: 912-434-9386
Dr. Lindsey Motes Rish, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1692 Glynco Pkwy, Brunswick, GA 31525 Phone: 912-265-4735
Dr. Jennifer Kotz Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 390 Eh Ct, Brunswick, GA 31520 Phone: 912-267-4900

Jelisa Carroll, - Medicare Family Practice in Brunswick, GA