Dr Jerold M Carlson, MD is a
Preventive Medicine - Occupational Medicine physician based in West Roxbury, Massachusetts. Dr Jerold M Carlson is licensed to practice in Massachusetts (license number 43818) and his current practice location is 36 Hollywood Rd, West Roxbury, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 921-3002.
NPI number for Dr Jerold M Carlson is 1124226295 and his current mailing address is 36 Hollywood Rd, West Roxbury, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124226295.
Physician's Profile
| Full Name | Dr Jerold M Carlson |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 36 Hollywood Rd, West Roxbury, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124226295
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 07/10/2007
Medical Identifiers
Medical identifiers for Dr Jerold M Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124226295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 43818 (Massachusetts) | 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 Jerold M 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 |
|---|
Dr Jerold M Carlson, MD
36 Hollywood Rd,
West Roxbury, MA 02132-1004
Ph: (617) 323-8823 | Dr Jerold M Carlson, MD
36 Hollywood Rd,
West Roxbury, MA 02132-1004
Ph: (617) 921-3002 |
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