Carissa Gorham, in Peoria, IL - Medicare Certified Clinical Nurse Specialist (cns)

Carissa Gorham, is a medicare enrolled "Clinical Nurse Specialist" in Peoria, Illinois. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Osf Multi-specialty Group and her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-3000.

Carissa Gorham is licensed to practice in Illinois (license number 041338732) 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 1407259559.

Contact Information

	Carissa Gorham,
	530 Ne Glen Oak Ave, Peoria, IL 61637-0001
	(309) 655-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Carissa Gorham
Gender	Female
Speciality	Certified Clinical Nurse Specialist (cns)
Experience	10 Years
Location	530 Ne Glen Oak Ave, Peoria, Illinois
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:

Carissa Gorham graduated from nursing school in 2014

NPI Data:

NPI Number: 1407259559
Provider Enumeration Date: 10/03/2014
Last Update Date: 10/03/2014

Medicare PECOS Information:

PECOS PAC ID: 8628391901
Enrollment ID: I20141217000703

Medical Identifiers

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

Identifier	Type	State	Issuer
1407259559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364S00000X	Clinical Nurse Specialist	041338732 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1552

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 Gorham allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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 Gorham 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 Gorham, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-3000	Carissa Gorham, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-3000

Reviews and Comments

Clinical Nurse Specialist Nurses in Peoria, IL

Cheryl Herrmann, Clinical Nurse Specialist Medicare: May Accept Medicare Assignments Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606 Phone: 309-672-4670
Ms. Colleen Susanne Cushing Ragon, APN, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274
Mrs. Heather A Boore, APN, CNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603 Phone: 309-624-9844
Mrs. Jessica M Stewart, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3215
Mckenzie Regan Likes, APN-C Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Sarah E Dominique, APN CDE Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-2480
Melissa R Norris, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 3525 N University St, Peoria, IL 61604 Phone: 309-886-9172 Fax: 309-509-4045

Carissa Gorham, - Medicare Certified Clinical Nurse Specialist (cns) in Peoria, IL