| Jeffrey O Carlsen, MD | |
|
110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | |
| (423) 929-2111 | |
| (423) 929-0497 |
| Full Name | Jeffrey O Carlsen |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 26 Years |
| Location | 110 Med Tech Pkwy, Johnson City, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609834076 | NPI | - | NPPES |
| P00163835 | Other | TN | PALMETTO RAILROAD MEDICAR |
| 3898262 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD38624 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johnson City Eye Clinic Pc | 3375448681 | 11 |
| Entity Name | Johnson City Eye Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700827961 PECOS PAC ID: 3375448681 Enrollment ID: O20031201000292 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey O Carlsen, MD 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 Ph: (423) 929-2111 | Jeffrey O Carlsen, MD 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 Ph: (423) 929-2111 |
Jennifer Oakley, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604 Phone: 423-929-2111 Fax: 423-929-0497 | |
Michael Farzin Shahbazi, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604 Phone: 423-929-2111 Fax: 423-929-0497 | |
Alan N Mccartt, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604 Phone: 423-929-2111 Fax: 423-929-0497 | |
Amy B Young, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604 Phone: 423-929-2111 Fax: 423-929-0497 | |
Calvin L Miller, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 110 Med Tech Pkwy, Johnson City, TN 37604 Phone: 423-722-0360 Fax: 423-793-1339 | |
Dr. James W Battle Iii, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604 Phone: 423-929-2111 Fax: 423-929-0497 | |
Randal J Rabon, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604 Phone: 423-929-2111 Fax: 423-929-0497 |