Diana Carmichael, FNP-BC in Forest Park, GA - Medicare Nurse Practitioner

Diana Carmichael, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Forest Park, Georgia. Her current practice location is 528 Forest Pkwy Ste A, Forest Park, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 968-9469.

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, FNP-BC
	528 Forest Pkwy Ste A, Forest Park, GA 30297-6109
	(404) 968-9469
	(404) 968-9341

Map and Direction

Provider's Profile

Full Name	Diana Carmichael
Gender	Female
Speciality	Nurse Practitioner - Family
Location	528 Forest Pkwy Ste A, Forest Park, 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: 02/27/2018

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	Ahmed Family Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831579812 PECOS PAC ID: 6305159930 Enrollment ID: O20150724011591

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, FNP-BC 1013 Battersea Pl, Locust Grove, GA 30248-2077 Ph: (770) 880-0784	Diana Carmichael, FNP-BC 528 Forest Pkwy Ste A, Forest Park, GA 30297-6109 Ph: (404) 968-9469

Reviews and Comments

Nurse Practitioner Nurses in Forest Park, GA

Melva L Banks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4146 Jonesboro Rd, Forest Park, GA 30297 Phone: 470-666-4762 Fax: 770-264-5181
Antoinette Denise Palomino, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808
Anya Wiedenbeck, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 455 Forest Pkwy, Forest Park, GA 30297 Phone: 678-705-0100
Mrs. Arleen Revely, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 528 Forest Pkwy Ste A, Forest Park, GA 30297 Phone: 404-918-8118
Rosemary Thomas-cloud, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 Forest Pkwy, Forest Park, GA 30297 Phone: 404-883-2376 Fax: 404-883-2378
Ariana Bedford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636

Diana Carmichael, FNP-BC - Medicare Nurse Practitioner in Forest Park, GA