Clarissa Evanell Carson, PMHNP in Medford, OR

Clarissa Evanell Carson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Medford, Oregon. Her current practice location is 900 E Main St, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 842-7705.

Clarissa Evanell Carson is licensed to practice in Oregon (license number 10004386) 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 1205533155.

Contact Information

	Clarissa Evanell Carson, PMHNP
	900 E Main St, Medford, OR 97504-7136
	(541) 842-7705
	(541) 842-7640

Map and Direction

Provider's Profile

Full Name	Clarissa Evanell Carson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	900 E Main St, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205533155
Provider Enumeration Date: 02/10/2023
Last Update Date: 03/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6901270594
Enrollment ID: I20230322001310

Medical Identifiers

Medical identifiers for Clarissa Evanell Carson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205533155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10004386 (Oregon)	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. Clarissa Evanell Carson allows following entities to bill medicare on her behalf.

Entity Name	Rogue Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073511721 PECOS PAC ID: 1557266236 Enrollment ID: O20040226000885

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. Clarissa Evanell Carson 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
Clarissa Evanell Carson, PMHNP 1000 E Main St, Medford, OR 97504-7667 Ph: (541) 773-3863	Clarissa Evanell Carson, PMHNP 900 E Main St, Medford, OR 97504-7136 Ph: (541) 842-7705

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121

Clarissa Evanell Carson, PMHNP - Medicare Nurse Practitioner in Medford, OR