Mrs Carol Anne Jackson, OTA is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Ocklawaha, Florida. Mrs Carol Anne Jackson is licensed to practice in Florida (license number FLOTA8013) and her current practice location is 10710 Se 160th Court Rd, Ocklawaha, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 750-6619.
NPI number for Mrs Carol Anne Jackson is 1386370351 and her current mailing address is 10710se160th Ct Rd, Ocklawaha, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386370351.
Physician's Profile
Full Name | Mrs Carol Anne Jackson |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 10710 Se 160th Court Rd, Ocklawaha, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386370351
- Provider Enumeration Date: 08/01/2022
- Last Update Date: 08/01/2022
Medical Identifiers
Medical identifiers for Mrs Carol Anne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386370351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | FLOTA8013 (Florida) | 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. Mrs Carol Anne Jackson 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 |
Mrs Carol Anne Jackson, OTA 10710se160th Ct Rd, Ocklawaha, FL 32179 Ph: (352) 804-2231 | Mrs Carol Anne Jackson, OTA 10710 Se 160th Court Rd, Ocklawaha, FL 32179-8906 Ph: (352) 750-6619 |
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