Corey Katheleen Carlson, ATC is a
Specialist/technologist - Athletic Trainer physician based in Shenandoah, Virginia. Corey Katheleen Carlson is licensed to practice in Virginia (license number 0126002185) and her current practice location is 184 Panther Dr, Shenandoah, Virginia. She can be reached at her office (for appointments etc.) via phone at
(540) 652-8712.
NPI number for Corey Katheleen Carlson is 1265997951 and her current mailing address is 407 Herdman Hill Rd, Luray, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265997951.
Physician's Profile
Full Name | Corey Katheleen Carlson |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 184 Panther Dr, Shenandoah, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265997951
- Provider Enumeration Date: 02/06/2019
- Last Update Date: 10/13/2021
Medical Identifiers
Medical identifiers for Corey Katheleen Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265997951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083S0010X | Preventive Medicine - Sports Medicine | 126002185 (Virginia) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 0126002185 (Virginia) | 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. Corey Katheleen 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 |
Corey Katheleen Carlson, ATC 407 Herdman Hill Rd, Luray, VA 22835-7133 Ph: (540) 631-1648 | Corey Katheleen Carlson, ATC 184 Panther Dr, Shenandoah, VA 22849-3022 Ph: (540) 652-8712 |
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