| Karen M Carlson, ARNP | |
|
273 Sussex Ave E, Tenino, WA 98589-9359 | |
| (360) 264-5665 | |
| (360) 264-5666 |
| Full Name | Karen M Carlson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 30 Years |
| Location | 273 Sussex Ave E, Tenino, Washington |
| 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 |
|---|---|---|---|
| 1245317486 | NPI | - | NPPES |
| 9635285 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP30004220 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olympic Medical Center | Port angeles, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jamestown S'klallam Tribe | 2365349495 | 31 |
| Entity Name | Jamestown S'klallam Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134181555 PECOS PAC ID: 2365349495 Enrollment ID: O20050507000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen M Carlson, ARNP Po Box 3360, Portland, OR 97208-3360 Ph: (360) 413-4200 | Karen M Carlson, ARNP 273 Sussex Ave E, Tenino, WA 98589-9359 Ph: (360) 264-5665 |
Amy Jo Dupuis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 273 Sussex Ave E, Tenino, WA 98589 Phone: 360-264-5665 Fax: 360-264-5666 | |
Ms. Janet Lynn Black, ARNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 273 Sussex Ave E, Tenino, WA 98589 Phone: 360-264-5665 Fax: 360-264-5666 | |
Alyssa Marie Titus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 273 Sussex Ave E, Tenino, WA 98589 Phone: 360-264-5665 Fax: 360-264-5666 |