Dr Carissa Sarah Cousins, MD - Medicare Pediatrics in Corvallis, OR

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Dr Carissa Sarah Cousins, MD is a medicare enrolled "Pediatrics" physician in Corvallis, Oregon. Her current practice location is 121 Se Viewmont Ave, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 766-3546.

Dr Carissa Sarah Cousins is licensed to practice in Oregon (license number MD156114) 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 1578521829.

Contact Information

Dr Carissa Sarah Cousins, MD
121 Se Viewmont Ave,
Corvallis, OR 97333-1968
(541) 766-3546
Not Available

Map and Direction




Physician's Profile

Full NameDr Carissa Sarah Cousins
GenderFemale
SpecialityPediatrics
Location121 Se Viewmont Ave, Corvallis, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578521829
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 02/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183517584
  • Enrollment ID: I20120109000381

Medical Identifiers

Medical identifiers for Dr Carissa Sarah Cousins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578521829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 156114 (Oregon)Secondary
208000000XPediatrics ME78852 (Florida)Secondary
208000000XPediatrics 096165 (Ohio)Secondary
208000000XPediatrics MD156114 (Oregon)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. Dr Carissa Sarah Cousins allows following entities to bill medicare on her behalf.
Entity NameMid-valley Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20031111000297
Entity NameGood Samaritan Hospital Corvallis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962453134
PECOS PAC ID: 1557270725
Enrollment ID: O20031125000163
Entity NameAlbany General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154372340
PECOS PAC ID: 9931097987
Enrollment ID: O20040310000310
Entity NameMid-valley Healthcare Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20061104000140

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. Dr Carissa Sarah Cousins 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
Dr Carissa Sarah Cousins, MD
Po Box 1188,
Corvallis, OR 97339-1188

Ph: (541) 812-5111		Dr Carissa Sarah Cousins, MD
121 Se Viewmont Ave,
Corvallis, OR 97333-1968

Ph: (541) 766-3546

Reviews and Comments


Pediatrics Doctors in Corvallis, OR

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Jill A Miller, M.D.
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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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