Carissa Marie Kicinski, PA-C - Medicare Physician Assistant in Raleigh, NC

Carissa Marie Kicinski, PA-C is a medicare enrolled "Physician Assistant" in Raleigh, North Carolina. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carter Clinic, P A and her current practice location is 4009 Barrett Dr Ste 100, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 848-0132.

Carissa Marie Kicinski is licensed to practice in North Carolina (license number 0010-06929) 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 1992240741.

Contact Information

Carissa Marie Kicinski, PA-C
4009 Barrett Dr Ste 100,
Raleigh, NC 27609-6616
(919) 848-0132
Not Available

Map and Direction




Provider's Profile

Full NameCarissa Marie Kicinski
GenderFemale
SpecialityPhysician Assistant
Experience8 Years
Location4009 Barrett Dr Ste 100, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. 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 Marie Kicinski graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1992240741
  • Provider Enumeration Date: 01/04/2017
  • Last Update Date: 10/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4385929090
  • Enrollment ID: I20170321000283

Medical Identifiers

Medical identifiers for Carissa Marie Kicinski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992240741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 0010-06929 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carter Clinic, P A125442992113

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 Marie Kicinski 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 AddressPractice Location Address
Carissa Marie Kicinski, PA-C
9228 Yardley Town Dr,
Wake Forest, NC 27587-8095

Ph: (716) 982-4981
Carissa Marie Kicinski, PA-C
4009 Barrett Dr Ste 100,
Raleigh, NC 27609-6616

Ph: (919) 848-0132

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.