Carey Jackson Ii, is a
Occupational Therapist based in Whiteville, Tennessee. Carey Jackson Ii is licensed to practice in Tennessee (license number 1231901241233737) and his current practice location is
406 Maple St, Whiteville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(731) 212-1163.
NPI number for Carey Jackson Ii is 1962250225 and his current mailing address is 406 Maple St, Whiteville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962250225.
Healthcare Provider's Profile
| Full Name | Carey Jackson Ii |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 406 Maple St, Whiteville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962250225
- Provider Enumeration Date: 05/10/2024
- Last Update Date: 05/10/2024
Medical Identifiers
Medical identifiers for Carey Jackson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962250225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 1231901241233737 (Tennessee) | 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. Carey Jackson Ii 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 |
|---|
Carey Jackson Ii,
406 Maple St,
Whiteville, TN 38075-4708
Ph: () - | Carey Jackson Ii,
406 Maple St,
Whiteville, TN 38075-4708
Ph: (731) 212-1163 |
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