Diana Carmichael, DNP in Morrow, GA - Medicare Nurse Practitioner

Diana Carmichael, DNP is a medicare enrolled "Nurse Practitioner - Family" in Morrow, Georgia. Her current practice location is 1404 Southlake Plaza Dr, Morrow, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 696-3960.

Diana Carmichael is licensed to practice in Georgia (license number 2017027617) 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 1477054260.

Contact Information

	Diana Carmichael, DNP
	1404 Southlake Plaza Dr, Morrow, GA 30260-1756
	(770) 696-3960
	(678) 550-9180

Map and Direction

Provider's Profile

Full Name	Diana Carmichael
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1404 Southlake Plaza Dr, Morrow, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477054260
Provider Enumeration Date: 02/27/2018
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0648528653
Enrollment ID: I20180808001488

Medical Identifiers

Medical identifiers for Diana Carmichael such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477054260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2017027617 (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. Diana Carmichael allows following entities to bill medicare on her behalf.

Entity Name	Dc Family Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114758083 PECOS PAC ID: 6002343092 Enrollment ID: O20250103000747

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. Diana Carmichael 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
Diana Carmichael, DNP 1013 Battersea Pl, Locust Grove, GA 30248-2077 Ph: (770) 880-0784	Diana Carmichael, DNP 1404 Southlake Plaza Dr, Morrow, GA 30260-1756 Ph: (770) 696-3960

Reviews and Comments

Nurse Practitioner Nurses in Morrow, GA

Yanique Latoya Lewis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1467 John Robert Dr Ste B, Morrow, GA 30260 Phone: 770-293-8050
Yvette Monique Ash, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6053 Jonesboro Rd, Morrow, GA 30260 Phone: 707-824-4343
Emmanuela C Conseillant, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Mount Zion Rd Ste J, Morrow, GA 30260 Phone: 404-883-9140
Bessie Koryan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6392 Murphy Dr, Morrow, GA 30260 Phone: 770-968-1310
Mr. Patrick Washington, N.P.-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5809 N Lake Dr # 1000, Morrow, GA 30260 Phone: 678-466-5591 Fax: 678-466-4944
Ashley Elaine Martin, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6635 Lake Dr, Morrow, GA 30260 Phone: 770-968-1323 Fax: 770-968-4556
Susan Sanner, APRN-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2777 Priscilla Way, Morrow, GA 30260 Phone: 770-961-4866 Fax: 770-961-4866

Diana Carmichael, DNP - Medicare Nurse Practitioner in Morrow, GA