Dr Nicole P Carbonell, MD - Medicare Emergency Medicine in Austell, GA

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Dr Nicole P Carbonell, MD is a medicare enrolled "Emergency Medicine" physician in Austell, Georgia. She went to Emory University School Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Innova Emergency Medical Associates Pc, Vep Hutchinson Emergency Medical Group Llc and her current practice location is 3950 Austell Rd, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 732-4000.

Dr Nicole P Carbonell is licensed to practice in Georgia (license number 056417) 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 1699889865.

Contact Information

Dr Nicole P Carbonell, MD
3950 Austell Rd,
Austell, GA 30106-1121
(770) 732-4000
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicole P Carbonell
GenderFemale
SpecialityEmergency Medicine
Experience24 Years
Location3950 Austell Rd, Austell, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicole P Carbonell attended and graduated from Emory University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1699889865
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 12/30/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5193756559
  • Enrollment ID: I20230919002195

Medical Identifiers

Medical identifiers for Dr Nicole P Carbonell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699889865NPI-NPPES
6611384100OtherGADOL
244750062DMedicaidGA
244750062CMedicaidGA
244750062AMedicaidGA
244750062BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 056417 (Georgia)Primary
207P00000XEmergency Medicine 25112 (Alabama)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
New Century Hospice Of Colorado SpringsColorado springs, COHospice
Colorado Plains Medical CenterFort morgan, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innova Emergency Medical Associates Pc286063343559
Vep Hutchinson Emergency Medical Group Llc509203105424

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 Nicole P Carbonell allows following entities to bill medicare on her behalf.
Entity NameSaint Lukes Hospital Of Garnett Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619901725
PECOS PAC ID: 8729071691
Enrollment ID: O20040406001183
Entity NameVep Hutchinson Emergency Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669879110
PECOS PAC ID: 5092031054
Enrollment ID: O20150310001308
Entity NameUsacs Of Colorado Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760018253
PECOS PAC ID: 4981507571
Enrollment ID: O20171113003104
Entity NameSaint Lukes Hospital Of Allen County Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1639185457
PECOS PAC ID: 5496178691
Enrollment ID: O20200707001214
Entity NameSaint Lukes Hospital Of Allen County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639185457
PECOS PAC ID: 5496178691
Enrollment ID: O20200805001823
Entity NameInnova Emergency Medical Associates Pc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1295178978
PECOS PAC ID: 2860633435
Enrollment ID: O20240106000323

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 Nicole P Carbonell 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 Nicole P Carbonell, MD
14030 Crabapple Lake Dr,
Roswell, GA 30076-4264

Ph: (678) 462-1711		Dr Nicole P Carbonell, MD
3950 Austell Rd,
Austell, GA 30106-1121

Ph: (770) 732-4000

Reviews and Comments


Emergency Medicine Doctors in Austell, GA

Michelle Presley,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Dr. Zachary Richard Wetendorf, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-3886    Fax: 770-732-7280
Dr. Mark P Cruz, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Dr. Craig S Brummer, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Kirsten Haskelle Bendeck, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Road, Emergency Department, Austell, GA 30328
Phone: 770-732-4000    
Gerald Bortolazzo,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
William Pearl,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.