Jacquelynne Rose Carlson, in Coeur D Alene, ID - Medicare Occupational Therapist In Private Practice Provider

Jacquelynne Rose Carlson, is a medicare enrolled "Occupational Therapist" provider in Coeur D Alene, Idaho. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Orthopedic Surgery And Sports and her current practice location is 1812 N Lakewood Dr Ste 100, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 966-4476.

Jacquelynne Rose Carlson is licensed to practice in Texas (license number 121595) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982338885.

Contact Information

	Jacquelynne Rose Carlson,
	1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635
	(208) 966-4476
	(208) 966-4475

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelynne Rose Carlson
Gender	Female
Speciality	Occupational Therapist In Private Practice
Experience	6 Years
Location	1812 N Lakewood Dr Ste 100, Coeur D Alene, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacquelynne Rose Carlson graduated from medical school in 2020

NPI Data:

NPI Number: 1982338885
Provider Enumeration Date: 07/15/2022
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID: 5698141075
Enrollment ID: I20250314000321

Medical Identifiers

Medical identifiers for Jacquelynne Rose Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982338885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	121595 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic Surgery And Sports	3375519168	28

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacquelynne Rose Carlson allows following entities to bill medicare on her behalf.

Provider Name	Orthopedic Surgery And Sports
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083729438 PECOS PAC ID: 3375519168 Enrollment ID: O20040902001125

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. Jacquelynne Rose Carlson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacquelynne Rose Carlson, 850 W Ironwood Dr Ste 202, Coeur D Alene, ID 83814-4903 Ph: (208) 664-2175	Jacquelynne Rose Carlson, 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 Ph: (208) 966-4476

Reviews and Comments

Occupational Therapist in Coeur D Alene, ID

Lanmana Parys-wolodkewitsch, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468
Mr. Christy Sater Adams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 W Canfield Ave, Coeur D Alene, ID 83815 Phone: 208-762-3502
Sarah B Vore, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D1, Coeur D Alene, ID 83815 Phone: 208-664-2468
Taylor Lee Kroll, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814 Phone: 208-966-4476 Fax: 208-966-4475
Autumn B Deda, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Aqua Ave, Coeur D Alene, ID 83815 Phone: 208-762-1122
Megan Marney, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468
Clarence Andrew Sims, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1917 N Lakewood Dr, Coeur D Alene, ID 83814 Phone: 208-664-8194 Fax: 208-667-1847

Jacquelynne Rose Carlson, - Medicare Occupational Therapist in Coeur D Alene, ID