Mrs Carisalyn Nicole Cousin, APRN BC in Cartersville, GA

Mrs Carisalyn Nicole Cousin, APRN BC is a medicare enrolled "Nurse Practitioner - Family" in Cartersville, Georgia. Her current practice location is 12 Medical Dr Ne, Cartersville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 386-1000.

Mrs Carisalyn Nicole Cousin is licensed to practice in Georgia (license number RN271422) 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 1124085972.

Contact Information

	Mrs Carisalyn Nicole Cousin, APRN BC
	12 Medical Dr Ne, Cartersville, GA 30121-8002
	(770) 386-1000
	(770) 386-9165

Map and Direction

Provider's Profile

Full Name	Mrs Carisalyn Nicole Cousin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12 Medical Dr Ne, Cartersville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124085972
Provider Enumeration Date: 04/26/2006
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 6608175443
Enrollment ID: I20211028000339

Medical Identifiers

Medical identifiers for Mrs Carisalyn Nicole Cousin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124085972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN271422 (Georgia)	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. Mrs Carisalyn Nicole Cousin allows following entities to bill medicare on her behalf.

Entity Name	C. Thomas Bevill Iii Md, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518089820 PECOS PAC ID: 5092704940 Enrollment ID: O20040507000187

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

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. Mrs Carisalyn Nicole Cousin 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
Mrs Carisalyn Nicole Cousin, APRN BC Po Box 200185, Cartersville, GA 30120-9027 Ph: (770) 386-1000	Mrs Carisalyn Nicole Cousin, APRN BC 12 Medical Dr Ne, Cartersville, GA 30121-8002 Ph: (770) 386-1000

Reviews and Comments

Nurse Practitioner Nurses in Cartersville, GA

Donna Marie Liming, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 768 West Ave, Cartersville, GA 30120 Phone: 770-383-3552
Mrs. Jessica Perri Lay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 Phone: 770-386-5221 Fax: 770-386-1128
Sandra Beverley Burrell-spence, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6510 Fax: 470-490-6517
Sandy Menard, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 W Main St, Cartersville, GA 30120 Phone: 678-719-3240
Mrs. Jacqueline Reid, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Pointe North Dr, Cartersville, GA 30120 Phone: 678-721-0705 Fax: 678-721-5116
Lisa Arvind Patel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7470 Fax: 770-386-7910
Ms. Lourdes Cristina Irizar, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1328 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 770-382-0029

Mrs Carisalyn Nicole Cousin, APRN BC - Medicare Nurse Practitioner in Cartersville, GA