Ms Doussou Carmichael, NP in Bronx, NY - Medicare Nurse Practitioner

Ms Doussou Carmichael, NP is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. Her current practice location is 3204 Holland Ave Apt 3k, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (347) 845-6124.

Ms Doussou Carmichael is licensed to practice in New York (license number F351673) 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 1598153413.

Contact Information

	Ms Doussou Carmichael, NP
	3204 Holland Ave Apt 3k, Bronx, NY 10467-6588
	(347) 845-6124
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Doussou Carmichael
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3204 Holland Ave Apt 3k, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598153413
Provider Enumeration Date: 12/30/2014
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2860841269
Enrollment ID: I20231211002693

Medical Identifiers

Medical identifiers for Ms Doussou Carmichael such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598153413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	662952 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F351673 (New York)	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 Doussou Carmichael allows following entities to bill medicare on her behalf.

Entity Name	Divinity Medical Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497159560 PECOS PAC ID: 5193030245 Enrollment ID: O20150818005362

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 Doussou Carmichael 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 Doussou Carmichael, NP 3204 Holland Ave, Apt 3k, Bronx, NY 10467-6533 Ph: (347) 845-6124	Ms Doussou Carmichael, NP 3204 Holland Ave Apt 3k, Bronx, NY 10467-6588 Ph: (347) 845-6124

Reviews and Comments

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Ms Doussou Carmichael, NP - Medicare Nurse Practitioner in Bronx, NY