Carissa Martine Bolden, NP - Medicare Nurse Practitioner in Biloxi, MS

Carissa Martine Bolden, NP is a medicare enrolled "Nurse Practitioner - Family" in Biloxi, Mississippi. Her current practice location is 249 Beauvoir Rd Ste B2, Biloxi, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 283-8999.

Carissa Martine Bolden is licensed to practice in Mississippi (license number 902960) 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 1366912529.

Contact Information

Carissa Martine Bolden, NP
249 Beauvoir Rd Ste B2,
Biloxi, MS 39531-4008
(601) 283-8999
Not Available

Map and Direction




Provider's Profile

Full NameCarissa Martine Bolden
GenderFemale
SpecialityNurse Practitioner - Family
Location249 Beauvoir Rd Ste B2, Biloxi, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366912529
  • Provider Enumeration Date: 11/30/2018
  • Last Update Date: 01/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042555963
  • Enrollment ID: I20181221000783

Medical Identifiers

Medical identifiers for Carissa Martine Bolden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366912529NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 902960 (Mississippi)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. Carissa Martine Bolden allows following entities to bill medicare on her behalf.
Entity NameCoastal Family Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629066782
PECOS PAC ID: 8628989654
Enrollment ID: O20040108000698
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210323002802
Entity NameNucare Medical And Weight Loss Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437882800
PECOS PAC ID: 5597145383
Enrollment ID: O20220711002863

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. Carissa Martine Bolden 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
Carissa Martine Bolden, NP
109 Sellers St,
Wiggins, MS 39577-8743

Ph: (601) 528-0203
Carissa Martine Bolden, NP
249 Beauvoir Rd Ste B2,
Biloxi, MS 39531-4008

Ph: (601) 283-8999

Reviews and Comments


Nurse Practitioner Nurses in Biloxi, MS

Linda Crippen Bell, NP
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Mrs. Tara L Sykes, FNP
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Phone: 228-388-9848    Fax: 228-388-4157
Mrs. Molly Bailey Brown, FNP
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Practice Location: 971 Tommy Munro Dr Ste D, Biloxi, MS 39532
Phone: 228-207-1777    Fax: 228-206-7011

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.