Carissa Martine Bolden, NP in Biloxi, MS - Medicare Nurse Practitioner

Carissa Martine Bolden, NP is a medicare enrolled "Nurse Practitioner - Family" in Biloxi, Mississippi. Her current practice location is 249 Beauvoir Rd Ste B2, Biloxi, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 283-8999.

Carissa Martine Bolden is licensed to practice in Mississippi (license number 902960) 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 1366912529.

Contact Information

	Carissa Martine Bolden, NP
	249 Beauvoir Rd Ste B2, Biloxi, MS 39531-4008
	(601) 283-8999
	Not Available

Map and Direction

Provider's Profile

Full Name	Carissa Martine Bolden
Gender	Female
Speciality	Nurse Practitioner - Family
Location	249 Beauvoir Rd Ste B2, Biloxi, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366912529
Provider Enumeration Date: 11/30/2018
Last Update Date: 01/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0042555963
Enrollment ID: I20181221000783

Medical Identifiers

Medical identifiers for Carissa Martine Bolden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366912529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	902960 (Mississippi)	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. Carissa Martine Bolden allows following entities to bill medicare on her behalf.

Entity Name	Coastal Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629066782 PECOS PAC ID: 8628989654 Enrollment ID: O20040108000698

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802

Entity Name	Nucare Medical And Weight Loss Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437882800 PECOS PAC ID: 5597145383 Enrollment ID: O20220711002863

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. Carissa Martine Bolden 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
Carissa Martine Bolden, NP 109 Sellers St, Wiggins, MS 39577-8743 Ph: (601) 528-0203	Carissa Martine Bolden, NP 249 Beauvoir Rd Ste B2, Biloxi, MS 39531-4008 Ph: (601) 283-8999

Reviews and Comments

Nurse Practitioner Nurses in Biloxi, MS

Linda Crippen Bell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Debuys Rd, Biloxi, MS 39531 Phone: 228-273-4096 Fax: 228-594-1765
Mrs. Rachel Lorraine Rauls, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Reynoir St, Biloxi, MS 39530 Phone: 228-432-1571 Fax: 228-436-1694
Jennifer Lynn Chatman Malley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Beauvoir Rd, Biloxi, MS 39531 Phone: 228-388-2994
Mrs. Emily Joy Pierce, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1641 A Popp's Ferry Rd, Suite A-5, Biloxi, MS 39532 Phone: 228-435-2265
Lisa K Burwell, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Reynoir St, Biloxi, MS 39530 Phone: 228-432-1571 Fax: 228-436-1654
Mrs. Tara L Sykes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Beauvoir Rd, Suite 4b, Biloxi, MS 39531 Phone: 228-388-9848 Fax: 228-388-4157
Mrs. Molly Bailey Brown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 971 Tommy Munro Dr Ste D, Biloxi, MS 39532 Phone: 228-207-1777 Fax: 228-206-7011

Carissa Martine Bolden, NP - Medicare Nurse Practitioner in Biloxi, MS