Mrs Carisalyn Nicole Cousin, APRN BC - Medicare Nurse Practitioner 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 NameMrs Carisalyn Nicole Cousin
GenderFemale
SpecialityNurse Practitioner - Family
Location12 Medical Dr Ne, Cartersville, Georgia
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1124085972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse 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 NameC. Thomas Bevill Iii Md, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518089820
PECOS PAC ID: 5092704940
Enrollment ID: O20040507000187
Entity NamePrivia Medical Group Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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Phone: 770-386-5221    Fax: 770-386-1128
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Practice Location: 15 Medical Dr Ne, Cartersville, GA 30121
Phone: 770-386-5221    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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