Charlotte Larissa Couch, PA - Medicare Physician Assistant in Portland, TN

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Charlotte Larissa Couch, PA is a medicare enrolled "Physician Assistant" in Portland, Tennessee. Her current practice location is 235 Tn-52, Portland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 802-1087.

Charlotte Larissa Couch is licensed to practice in Tennessee (license number 5482) 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 1245014745.

Contact Information

Charlotte Larissa Couch, PA
235 Tn-52,
Portland, TN 37148
(615) 802-1087
Not Available

Map and Direction




Provider's Profile

Full NameCharlotte Larissa Couch
GenderFemale
SpecialityPhysician Assistant
Location235 Tn-52, Portland, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245014745
  • Provider Enumeration Date: 08/24/2023
  • Last Update Date: 08/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012362734
  • Enrollment ID: I20231016000891

Medical Identifiers

Medical identifiers for Charlotte Larissa Couch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245014745NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5482 (Tennessee)Primary

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. Charlotte Larissa Couch 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
Charlotte Larissa Couch, PA
434 Lanier Dr,
Madison, TN 37115-3819

Ph: (615) 982-3246		Charlotte Larissa Couch, PA
235 Tn-52,
Portland, TN 37148

Ph: (615) 802-1087

Reviews and Comments


Physician Assistant Nurses in Portland, TN

Kelsey B Glover, PA-C
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Phone: 615-323-9464    
Laura Porter-guyer, PA
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Medicare: May Accept Medicare Assignments
Practice Location: 934 S Broadway St Ste C, Portland, TN 37148
Phone: 615-325-6446    Fax: 615-325-2165

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.