Dr Jackie Lee Carolus, DC is a
Specialist/technologist, Other - Electroneurodiagnostic based in Perry, Iowa. Dr Jackie Lee Carolus is licensed to practice in * (Not Available) (license number ) and her current practice location is
403 1st Ave, Perry, Iowa. She can be reached at her office (for appointments etc.) via phone at
(515) 465-3585.
NPI number for Dr Jackie Lee Carolus is 1144527557 and her current mailing address is Po Box 592442, San Antonio, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144527557.
Healthcare Provider's Profile
| Full Name | Dr Jackie Lee Carolus |
|---|
| Gender | Female |
|---|
| Speciality | Specialist/technologist, Other - Electroneurodiagnostic |
|---|
| Location | 403 1st Ave, Perry, Iowa |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144527557
- Provider Enumeration Date: 02/21/2011
- Last Update Date: 05/29/2014
Medical Identifiers
Medical identifiers for Dr Jackie Lee Carolus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144527557 | NPI | - | NPPES |
| IB2212002 | Other | IA | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 5355 (Minnesota) | Secondary |
| 111N00000X | Chiropractor | 007416 (Iowa) | Secondary |
| 246ZE0600X | Specialist/technologist, Other - Electroneurodiagnostic | (* (Not Available)) | Primary |
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. Dr Jackie Lee Carolus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jackie Lee Carolus, DC
Po Box 592442,
San Antonio, TX 78259-0172
Ph: (515) 494-0966 | Dr Jackie Lee Carolus, DC
403 1st Ave,
Perry, IA 50220-1902
Ph: (515) 465-3585 |
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