Elizabeth Moyle Carlson, PA-C is a
Physician Assistant based in Grand Jct, Colorado. Elizabeth Moyle Carlson is licensed to practice in Colorado (license number PA.0002780) and her current practice location is
735 White Ave, Grand Jct, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 248-5880.
NPI number for Elizabeth Moyle Carlson is 1063645992 and her current mailing address is Po Box 1727, Grand Junction, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063645992.
Provider's Profile
| Full Name | Elizabeth Moyle Carlson |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 735 White Ave, Grand Jct, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063645992
- Provider Enumeration Date: 08/26/2009
- Last Update Date: 04/04/2024
Medical Identifiers
Medical identifiers for Elizabeth Moyle Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063645992 | NPI | - | NPPES |
| 62824279 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 2780 (Colorado) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA.0002780 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | PA.0002780 (Colorado) | 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. Elizabeth Moyle Carlson 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 |
|---|
Elizabeth Moyle Carlson, PA-C
Po Box 1727,
Grand Junction, CO 81502-1727
Ph: (970) 623-8860 | Elizabeth Moyle Carlson, PA-C
735 White Ave,
Grand Jct, CO 81501-3441
Ph: (970) 248-5880 |
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