Carson Busby Dula, AGACNP is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Columbia, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prisma Health Medical Group-midlands and her current practice location is
14 Richland Medical Park Dr Ste 320, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 434-6771.
Carson Busby Dula is licensed to practice in South Carolina (license number 28223) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154962173.
Physician's Profile
| Full Name | Carson Busby Dula |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 14 Richland Medical Park Dr Ste 320, Columbia, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carson Busby Dula attended and graduated from University Of South Carolina School Of Medicine in 2019
NPI Data:
- NPI Number: 1154962173
- Provider Enumeration Date: 10/01/2019
- Last Update Date: 04/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496142879
- Enrollment ID: I20220504000707
Medical Identifiers
Medical identifiers for Carson Busby Dula such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154962173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0100X | Internal Medicine - Gastroenterology | 23223 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | 28223 (South Carolina) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 28223 (South Carolina) | Primary |
Medical Facilities Affiliation
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. Carson Busby Dula allows following entities to bill medicare on her behalf.
| Entity Name | Prisma Health Medical Group-midlands |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226 |
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| Entity Name | Epic Care Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942877287
PECOS PAC ID: 4082003397
Enrollment ID: O20211108001016 |
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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. Carson Busby Dula 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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Carson Busby Dula, AGACNP
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: (864) 522-8603 | Carson Busby Dula, AGACNP
14 Richland Medical Park Dr Ste 320,
Columbia, SC 29203-6896
Ph: (803) 434-6771 |
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