Ms Doussou Carmichael, NP - Medicare Nurse Practitioner in Bronx, NY

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Ms Doussou Carmichael, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bronx, New York. Her current practice location is 3204 Holland Ave Apt 3k, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (347) 845-6124.

Ms Doussou Carmichael is licensed to practice in New York (license number 408535) 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 1598153413.

Contact Information

Ms Doussou Carmichael, NP
3204 Holland Ave Apt 3k,
Bronx, NY 10467-6588
(347) 845-6124
Not Available

Map and Direction




Provider's Profile

Full NameMs Doussou Carmichael
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3204 Holland Ave Apt 3k, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598153413
  • Provider Enumeration Date: 12/30/2014
  • Last Update Date: 09/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2860841269
  • Enrollment ID: I20231211002693

Medical Identifiers

Medical identifiers for Ms Doussou Carmichael such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598153413NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F351673 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 408535 (New York)Primary
163W00000XRegistered Nurse 662952 (New York)Secondary

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. Ms Doussou Carmichael allows following entities to bill medicare on her behalf.
Entity NameDivinity Medical Services PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497159560
PECOS PAC ID: 5193030245
Enrollment ID: O20150818005362
Entity NameMolina Healthcare of New York Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134622970
PECOS PAC ID: 8628468337
Enrollment ID: O20211210001127
Entity NameTouba Family Health NP Practice PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447006200
PECOS PAC ID: 2163968256
Enrollment ID: O20240725000894

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. Ms Doussou 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 AddressPractice Location Address
Ms Doussou Carmichael, NP
3204 Holland Ave, Apt 3k,
Bronx, NY 10467-6533

Ph: (347) 845-6124		Ms Doussou Carmichael, NP
3204 Holland Ave Apt 3k,
Bronx, NY 10467-6588

Ph: (347) 845-6124

Reviews and Comments


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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).

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