Ms Ida Carlson, is a
Community Health Worker based in Camarillo, California. Ms Ida Carlson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3601 Calle Tecate Ste 201, Camarillo, California. She can be reached at her office (for appointments etc.) via phone at
(805) 794-6574.
NPI number for Ms Ida Carlson is 1407920663 and her current mailing address is 3601 Calle Tecate Ste 201, Camarillo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407920663.
Healthcare Provider's Profile
Full Name | Ms Ida Carlson |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 3601 Calle Tecate Ste 201, Camarillo, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407920663
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 12/01/2023
Medical Identifiers
Medical identifiers for Ms Ida Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407920663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (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. Ms Ida Carlson 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 |
Ms Ida Carlson, 3601 Calle Tecate Ste 201, Camarillo, CA 93012-5056 Ph: (805) 798-6574 | Ms Ida Carlson, 3601 Calle Tecate Ste 201, Camarillo, CA 93012-5056 Ph: (805) 794-6574 |
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