Diane H Cousins, APRN is a medicare enrolled "Nurse Practitioner - Family" in West Point, Georgia. Her current practice location is
1610 10th St, Clark-holder Clinic, P.a., West Point, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 645-2300.
Diane H Cousins is licensed to practice in Georgia (license number RN106393) 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 1245343896.
Provider's Profile
Full Name | Diane H Cousins |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1610 10th St, West Point, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245343896
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0446258891
- Enrollment ID: I20061117000398
Medical Identifiers
Medical identifiers for Diane H Cousins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245343896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN106393 (Georgia) | Primary |
363LF0000X | Nurse Practitioner - Family | 1-067853 (Alabama) | Secondary |
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. Diane H Cousins allows following entities to bill medicare on her behalf.
Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
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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. Diane H Cousins 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 |
Diane H Cousins, APRN 2733 Forest Rd, Greenville, GA 30222-2260 Ph: () - | Diane H Cousins, APRN 1610 10th St, Clark-holder Clinic, P.a., West Point, GA 31833 Ph: (706) 645-2300 |
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