Mrs Carrisa Suzette Patrick, APRN in Fort Smith, AR

Mrs Carrisa Suzette Patrick, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fort Smith, Arkansas. Her current practice location is 6108 S 31st St, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 242-9355.

Mrs Carrisa Suzette Patrick is licensed to practice in Arkansas (license number A005820) 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 1225516826.

Contact Information

	Mrs Carrisa Suzette Patrick, APRN
	6108 S 31st St, Fort Smith, AR 72908-7555
	(479) 242-9355
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Carrisa Suzette Patrick
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6108 S 31st St, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225516826
Provider Enumeration Date: 08/06/2018
Last Update Date: 08/02/2024

Medicare PECOS Information:

PECOS PAC ID: 4486906732
Enrollment ID: I20181015001804

Medical Identifiers

Medical identifiers for Mrs Carrisa Suzette Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225516826	NPI	-	NPPES
A005820	Other	AR	APRN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005820 (Arkansas)	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 Carrisa Suzette Patrick allows following entities to bill medicare on her behalf.

Entity Name	Keystone Family Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205280021 PECOS PAC ID: 2668763178 Enrollment ID: O20160614000205

Entity Name	Elite Wellness & Aesthetics, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780451088 PECOS PAC ID: 0244673168 Enrollment ID: O20240208000218

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 Carrisa Suzette Patrick 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 Carrisa Suzette Patrick, APRN 9425 W Highway 248, Waldron, AR 72958-8639 Ph: (501) 802-0072	Mrs Carrisa Suzette Patrick, APRN 6108 S 31st St, Fort Smith, AR 72908-7555 Ph: (479) 242-9355

Reviews and Comments

Nurse Practitioner Nurses in Fort Smith, AR

Steven A. Wells, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000
Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600
Mandi T Williams, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000

Mrs Carrisa Suzette Patrick, APRN - Medicare Nurse Practitioner in Fort Smith, AR