Michelle Carranza, NP is a medicare enrolled "Nurse Practitioner" physician in Atlanta, Georgia. Her current practice location is
1968 Peachtree Rd Nw, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 605-2800.
Michelle Carranza is licensed to practice in Georgia (license number RN212240) 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 1124523139.
Physician's Profile
| Full Name | Michelle Carranza |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1968 Peachtree Rd Nw, Atlanta, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124523139
- Provider Enumeration Date: 03/30/2018
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294080941
- Enrollment ID: I20180620001962
Medical Identifiers
Medical identifiers for Michelle Carranza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124523139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | RN212240 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | 832669 (Nevada) | Secondary |
| 363L00000X | Nurse Practitioner | RN212240 (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. Michelle Carranza allows following entities to bill medicare on her behalf.
| Entity Name | Northside Emergency Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285686303
PECOS PAC ID: 9335135144
Enrollment ID: O20040426000165 |
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| Entity Name | Gwinnett Emergency Specialists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437346467
PECOS PAC ID: 0840373619
Enrollment ID: O20080218000080 |
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| Entity Name | Gwinnett Emergency Specialists Observation Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720373129
PECOS PAC ID: 7618140955
Enrollment ID: O20111101000364 |
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| Entity Name | Piedmont Ed Professionals Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932477429
PECOS PAC ID: 1759543176
Enrollment ID: O20120501000744 |
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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. Michelle Carranza 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 |
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Michelle Carranza, NP
4505 S Maryland Pkwy, Box 453020,
Las Vegas, NV 89154-3020
Ph: () - | Michelle Carranza, NP
1968 Peachtree Rd Nw,
Atlanta, GA 30309-1281
Ph: (404) 605-2800 |
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