| Jacquelynne Rose Carlson, | |
|
800 Scott And White Dr, College Station, TX 77845-6440 | |
| (979) 207-4380 | |
| Not Available |
| Full Name | Jacquelynne Rose Carlson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 800 Scott And White Dr, College Station, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982338885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 121595 (Texas) | Primary |
| Provider Name | Scott & White Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelynne Rose Carlson, Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Jacquelynne Rose Carlson, 800 Scott And White Dr, College Station, TX 77845-6440 Ph: (979) 207-4380 |
Jana Crook Junek, OTR, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2803 Earl Rudder Fwy S Ste 102, College Station, TX 77845 Phone: 979-731-5274 | |
Hannah Ellestad, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Longmire Dr, College Station, TX 77845 Phone: 936-293-8800 | |
Tiffany Horne, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Longmire Dr Ste 300, College Station, TX 77845 Phone: 979-715-3721 | |
Miss Katherine Groezinger, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Jessica Richard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Longmire Dr Ste 300, College Station, TX 77845 Phone: 972-422-1860 | |
Mrs. Susan Lynn Parry, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1812 Welsh Ave, College Station, TX 77840 Phone: 979-764-5829 | |
Cassandra Nicole Kingery, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4380 |