| Carrie Lynn Carlin, MD | |
|
914 Pine Street, Mount Shasta, CA 96067-9688 | |
| (530) 926-9335 | |
| Not Available |
| Full Name | Carrie Lynn Carlin |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 914 Pine Street, Mount Shasta, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518948314 | NPI | - | NPPES |
| A108676 | Other | CA | MEDICAL LICENSE |
| MD25479 | Other | OR | OREGON STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD25479 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Providence Medford Medical Center | Medford, OR | Hospital |
| Asante Ashland Community Hospital | Ashland, OR | Hospital |
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oregon Advanced Imaging Llc | 3577465376 | 14 |
| Radia Oregon Radiology Medical Group Llc | 2961852637 | 121 |
| Three Rivers Radiology Associates, Pc | 9830089267 | 6 |
| Medford Radiological Group Pc | 2062303324 | 97 |
| Entity Name | Three Rivers Radiology Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962444240 PECOS PAC ID: 9830089267 Enrollment ID: O20040318000644 |
| Entity Name | Medford Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20100604000059 |
| Entity Name | Oregon Advanced Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134416464 PECOS PAC ID: 3577465376 Enrollment ID: O20111011000777 |
| Entity Name | Radia Oregon Radiology Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073385423 PECOS PAC ID: 2961852637 Enrollment ID: O20240103001641 |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Lynn Carlin, MD 914 Pine Street, Mount Shasta, CA 96067-9688 Ph: (530) 926-9335 | Carrie Lynn Carlin, MD 914 Pine Street, Mount Shasta, CA 96067-9688 Ph: (530) 926-9335 |
Dr. Peter Spelman Halt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 914 Pine St, Mount Shasta, CA 96067 Phone: 530-926-9329 Fax: 530-926-9855 |