Carissa Perine, RN is a medicare enrolled "Nurse Practitioner - Acute Care" in Waleska, Georgia. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Emory Clinic, Inc and her current practice location is
477 Rock House Rd, Waleska, Georgia. You can reach out to her office (for appointments etc.) via phone at
(440) 231-0373.
Carissa Perine is licensed to practice in Georgia (license number RN280964) 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 1104260561.
Provider's Profile
| Full Name | Carissa Perine |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 477 Rock House Rd, Waleska, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carissa Perine graduated from nursing school in 2020
NPI Data:
- NPI Number: 1104260561
- Provider Enumeration Date: 04/29/2013
- Last Update Date: 12/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921499161
- Enrollment ID: I20211227000597
Medical Identifiers
Medical identifiers for Carissa Perine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104260561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WC0200X | Registered Nurse - Critical Care Medicine | 380929 (Ohio) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | RN280964 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Emory Clinic, Inc | 8820901408 | 2729 |
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 Perine allows following entities to bill medicare on her behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503 |
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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 Perine 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 |
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Carissa Perine, RN
477 Rock House Rd,
Waleska, GA 30183-2525
Ph: (440) 231-0373 | Carissa Perine, RN
477 Rock House Rd,
Waleska, GA 30183-2525
Ph: (440) 231-0373 |
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