Mrs Carlie Sue Corse, FNP-C in Ventura, CA - Medicare Nurse Practitioner

Mrs Carlie Sue Corse, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ventura, California. Her current practice location is 2772 Johnson Dr Ste 100, Ventura, California. You can reach out to her office (for appointments etc.) via phone at (805) 642-1430.

Mrs Carlie Sue Corse is licensed to practice in California (license number 95007990) 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 1023521887.

Contact Information

	Mrs Carlie Sue Corse, FNP-C
	2772 Johnson Dr Ste 100, Ventura, CA 93003-7261
	(805) 642-1430
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Carlie Sue Corse
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2772 Johnson Dr Ste 100, Ventura, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023521887
Provider Enumeration Date: 11/14/2017
Last Update Date: 11/14/2017

Medicare PECOS Information:

PECOS PAC ID: 1456612407
Enrollment ID: I20180307002856

Medical Identifiers

Medical identifiers for Mrs Carlie Sue Corse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023521887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95007990 (California)	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. Mrs Carlie Sue Corse allows following entities to bill medicare on her behalf.

Entity Name	Primary Medical Group Of Ventura County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417970849 PECOS PAC ID: 0345218160 Enrollment ID: O20040920001052

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. Mrs Carlie Sue Corse 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
Mrs Carlie Sue Corse, FNP-C 8592 Wellington St, Ventura, CA 93004-2507 Ph: (805) 901-0761	Mrs Carlie Sue Corse, FNP-C 2772 Johnson Dr Ste 100, Ventura, CA 93003-7261 Ph: (805) 642-1430

Reviews and Comments

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Mrs Carlie Sue Corse, FNP-C - Medicare Nurse Practitioner in Ventura, CA