Jacqueline Tillery, is a
Assisted Living Facility based in Anchorage, Alaska. Jacqueline Tillery is licensed to practice in * (Not Available) (license number ) and her current practice location is
9441 Kylie Cir, Anchorage, Alaska. She can be reached at her office (for appointments etc.) via phone at
(919) 808-7163.
NPI number for Jacqueline Tillery is 1578211496 and her current mailing address is 9441 Kylie Cir, Anchorage, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578211496.
Healthcare Provider's Profile
| Full Name | Jacqueline Tillery |
|---|
| Gender | Female |
|---|
| Speciality | Assisted Living Facility |
|---|
| Location | 9441 Kylie Cir, Anchorage, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1578211496
- Provider Enumeration Date: 03/10/2022
- Last Update Date: 05/02/2022
Medical Identifiers
Medical identifiers for Jacqueline Tillery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578211496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
| 310400000X | Assisted Living Facility | (* (Not Available)) | 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. Jacqueline Tillery 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 |
|---|
Jacqueline Tillery,
9441 Kylie Cir,
Anchorage, AK 99502-1448
Ph: () - | Jacqueline Tillery,
9441 Kylie Cir,
Anchorage, AK 99502-1448
Ph: (919) 808-7163 |
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