| Courtney Carlson, PA-C | |
|
2277 Michigan St, Sidney, OH 45365-9077 | |
| (937) 492-1961 | |
| Not Available |
| Full Name | Courtney Carlson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2277 Michigan St, Sidney, Ohio |
| 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 |
|---|---|---|---|
| 1053082867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.007178RX (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Specialists, Llc | 1850311010 | 81 |
| Entity Name | Urgent Care Specialists, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114957123 PECOS PAC ID: 1850311010 Enrollment ID: O20051202000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Carlson, PA-C 2277 Michigan St, Sidney, OH 45365-9077 Ph: (937) 492-1961 | Courtney Carlson, PA-C 2277 Michigan St, Sidney, OH 45365-9077 Ph: (937) 492-1961 |
Eric David Vanfossen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1205 Fairington Dr, Sidney, OH 45365 Phone: 937-492-8431 |
Aliya Mitchell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 804 W Russell Rd, Sidney, OH 45365 Phone: 937-557-5657 |
Kylie Marie Holthaus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Michigan St, Sidney, OH 45365 Phone: 937-498-2311 |