Corissa Carlson, in Clinton Township, MI - Medicare Psychologist Provider

Corissa Carlson, is a medicare enrolled "Psychologist - Clinical" provider in Clinton Township, Michigan. Her current practice location is 42815 Garfield Rd Ste 201, Clinton Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 333-5328.

Corissa Carlson is licensed to practice in Michigan (license number 6301017222) 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 1093008880.

Contact Information

	Corissa Carlson,
	42815 Garfield Rd Ste 201, Clinton Township, MI 48038-1143
	(586) 333-5328
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Corissa Carlson
Gender	Female
Speciality	Psychologist - Clinical
Location	42815 Garfield Rd Ste 201, Clinton Township, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093008880
Provider Enumeration Date: 05/26/2011
Last Update Date: 09/26/2025

Medicare PECOS Information:

PECOS PAC ID: 6507118817
Enrollment ID: I20181016000618

Medical Identifiers

Medical identifiers for Corissa Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093008880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301017222 (Michigan)	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. Corissa Carlson allows following entities to bill medicare on her behalf.

Entity Name	Macomb Therapy Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801245972 PECOS PAC ID: 4981978418 Enrollment ID: O20170922000785

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. Corissa Carlson 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
Corissa Carlson, 42815 Garfield Rd Ste 201, Clinton Township, MI 48038-1143 Ph: (586) 333-5328	Corissa Carlson, 42815 Garfield Rd Ste 201, Clinton Township, MI 48038-1143 Ph: (586) 333-5328

Reviews and Comments

Psychologist in Clinton Township, MI

Dr. Beverly Louise Tujague, PHD, LLP, CRC, CH Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16200 19 Mile Rd, Clinton Township, MI 48038 Phone: 248-276-8177 Fax: 586-416-6129
Dr. Karen Kay Allmacher, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38787 Byriver St, Clinton Township, MI 48036 Phone: 586-469-1872
Rhiannon Strika, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 44899 Centre Ct, Clinton Township, MI 48038 Phone: 586-690-8331
Judith Kay Peltier, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35455 Garfield Rd, #c, Clinton Township, MI 48035 Phone: 586-792-5335 Fax: 586-792-3061
Shelley Galasso Bonanno, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36975 Utica Road, Suite 104, Clinton Township, MI 48036 Phone: 586-226-3440 Fax: 586-226-3740
Dr. Diana Robinson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16200 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-8749
Jerrilynn Karen Pearson, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36975 Utica Road, Suite 104, Clinton Township, MI 48036 Phone: 586-226-3440 Fax: 586-226-3740

Corissa Carlson, - Medicare Psychologist in Clinton Township, MI