Jennifer Carlson-long, PTA is a
Physical Therapy Assistant based in Kernersville, North Carolina. Jennifer Carlson-long is licensed to practice in North Carolina (license number A5268) and her current practice location is
1635 Nc Highway 66 S Ste 255, Kernersville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 992-4820.
NPI number for Jennifer Carlson-long is 1871169052 and her current mailing address is 1635 Nc Highway 66 S Ste 255, Kernersville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871169052.
Healthcare Provider's Profile
Full Name | Jennifer Carlson-long |
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Gender | Female |
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Speciality | Physical Therapy Assistant |
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Location | 1635 Nc Highway 66 S Ste 255, Kernersville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871169052
- Provider Enumeration Date: 05/28/2021
- Last Update Date: 02/28/2024
Medical Identifiers
Medical identifiers for Jennifer Carlson-long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871169052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | A5268 (North Carolina) | Secondary |
225200000X | Physical Therapy Assistant | A5268 (North Carolina) | 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. Jennifer Carlson-long 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 |
Jennifer Carlson-long, PTA 1635 Nc Highway 66 S Ste 255, Kernersville, NC 27284-3855 Ph: (336) 992-4820 | Jennifer Carlson-long, PTA 1635 Nc Highway 66 S Ste 255, Kernersville, NC 27284-3855 Ph: (336) 992-4820 |
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