Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, Llc is a medicare enrolled "Dietitian, Registered - Nutrition, Metabolic" provider in Ashville, New York. Their current practice location is
4867 College St, Ashville, New York. You can reach out to their office (for appointments etc.) via phone at
(716) 499-1049.
Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1487200358.
Healthcare Provider's Profile
Full Name | Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, Llc |
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Type | Facility |
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Speciality | Dietitian, Registered - Nutrition, Metabolic |
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Location | 4867 College St, Ashville, New York |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487200358
- Provider Enumeration Date: 08/15/2019
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789913898
- Enrollment ID: O20190913001875
Medical Identifiers
Medical identifiers for Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487200358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, Llc acts as a billing entity for following providers:
Provider Name | Jacqueline A Carlson |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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Provider Identifiers | NPI Number: 1942291935 PECOS PAC ID: 9931196540 Enrollment ID: I20040427000509 |
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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. Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, Llc 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 |
Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, Llc 4867 College St, Ashville, NY 14710-9603 Ph: (716) 499-1049 | Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, Llc 4867 College St, Ashville, NY 14710-9603 Ph: (716) 499-1049 |
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