Carrie Jean Tackett, DO is a
Student In An Organized Health Care Education/training Program physician based in Ventura, California. Carrie Jean Tackett is licensed to practice in * (Not Available) (license number ) and her current practice location is 147 N Brent St, Ventura, California. She can be reached at her office (for appointments etc.) via phone at
(805) 948-5672.
NPI number for Carrie Jean Tackett is 1659011211 and her current mailing address is 147 N Brent St, Ventura, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659011211.
Physician's Profile
| Full Name | Carrie Jean Tackett |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 147 N Brent St, Ventura, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659011211
- Provider Enumeration Date: 03/31/2022
- Last Update Date: 08/20/2025
Medical Identifiers
Medical identifiers for Carrie Jean Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659011211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 20A21599 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Carrie Jean Tackett 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 |
|---|
Carrie Jean Tackett, DO
147 N Brent St,
Ventura, CA 93003-2809
Ph: () - | Carrie Jean Tackett, DO
147 N Brent St,
Ventura, CA 93003-2809
Ph: (805) 948-5672 |
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