Ms Carla Bourelly, APRN in Decatur, GA - Medicare Nurse Practitioner

Ms Carla Bourelly, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Decatur, Georgia. Her current practice location is 2591 Candler Rd, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 310-8686.

Ms Carla Bourelly is licensed to practice in Georgia (license number 287303) 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 1851688097.

Contact Information

	Ms Carla Bourelly, APRN
	2591 Candler Rd, Decatur, GA 30032-6502
	(770) 310-8686
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Carla Bourelly
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2591 Candler Rd, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851688097
Provider Enumeration Date: 07/08/2011
Last Update Date: 07/06/2022

Medicare PECOS Information:

PECOS PAC ID: 1456713452
Enrollment ID: I20230808001258

Medical Identifiers

Medical identifiers for Ms Carla Bourelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851688097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	287303 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	287303 (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. Ms Carla Bourelly allows following entities to bill medicare on her behalf.

Entity Name	Dekalb Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073686978 PECOS PAC ID: 8527958487 Enrollment ID: O20040316001099

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. Ms Carla Bourelly 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
Ms Carla Bourelly, APRN 2591 Candler Rd, Decatur, GA 30032-6502 Ph: (770) 310-8686	Ms Carla Bourelly, APRN 2591 Candler Rd, Decatur, GA 30032-6502 Ph: (770) 310-8686

Reviews and Comments

Nurse Practitioner Nurses in Decatur, GA

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Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886

Ms Carla Bourelly, APRN - Medicare Nurse Practitioner in Decatur, GA