Carolyn D Coleman, PMHNP-BC in Jackson, MS - Medicare Nurse Practitioner

Carolyn D Coleman, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jackson, Mississippi. Her current practice location is 3450 Highway 80 W, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 321-2400.

Carolyn D Coleman is licensed to practice in Mississippi (license number 789956) 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 1770897860.

Contact Information

	Carolyn D Coleman, PMHNP-BC
	3450 Highway 80 W, Jackson, MS 39209-7201
	(601) 321-2400
	Not Available

Map and Direction

Provider's Profile

Full Name	Carolyn D Coleman
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3450 Highway 80 W, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770897860
Provider Enumeration Date: 07/30/2010
Last Update Date: 12/03/2020

Medicare PECOS Information:

PECOS PAC ID: 4880877802
Enrollment ID: I20110328000819

Medical Identifiers

Medical identifiers for Carolyn D Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770897860	NPI	-	NPPES
00151518	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R789956 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	R789956 (Mississippi)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	789956 (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. Carolyn D Coleman allows following entities to bill medicare on her behalf.

Entity Name	St. Dominic Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821

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. Carolyn D Coleman 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
Carolyn D Coleman, PMHNP-BC 3450 Highway 80 W, Jackson, MS 39209-7201 Ph: (601) 321-2400	Carolyn D Coleman, PMHNP-BC 3450 Highway 80 W, Jackson, MS 39209-7201 Ph: (601) 321-2400

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
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Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
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Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Carolyn D Coleman, PMHNP-BC - Medicare Nurse Practitioner in Jackson, MS