Jeanine Ruth Carlson, PHD in Mc Lean, VA - Medicare Psychologist Provider

Jeanine Ruth Carlson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Mc Lean, Virginia. Her current practice location is 1487 Chain Bridge Rd, Suite 202, Mc Lean, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 919-0917.

Jeanine Ruth Carlson is licensed to practice in Virginia (license number 2073) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972794642.

Contact Information

	Jeanine Ruth Carlson, PHD
	1487 Chain Bridge Rd, Suite 202, Mc Lean, VA 22101-5723
	(703) 919-0917
	(703) 536-4693

Map and Direction

Healthcare Provider's Profile

Full Name	Jeanine Ruth Carlson
Gender	Female
Speciality	Psychologist - Clinical
Location	1487 Chain Bridge Rd, Mc Lean, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972794642
Provider Enumeration Date: 08/07/2007
Last Update Date: 09/11/2012

Medicare PECOS Information:

PECOS PAC ID: 8527219880
Enrollment ID: I20150901002990

Medical Identifiers

Medical identifiers for Jeanine Ruth Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972794642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2073 (Virginia)	Primary

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. Jeanine Ruth Carlson allows following entities to bill medicare on her behalf.

Entity Name	Jeanine R Carlson Phd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144570771 PECOS PAC ID: 8224275359 Enrollment ID: O20130509000466

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. Jeanine Ruth 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
Jeanine Ruth Carlson, PHD 1487 Chain Bridge Rd, Suite 202, Mc Lean, VA 22101-5723 Ph: (703) 919-0917	Jeanine Ruth Carlson, PHD 1487 Chain Bridge Rd, Suite 202, Mc Lean, VA 22101-5723 Ph: (703) 919-0917

Reviews and Comments

Psychologist in Mc Lean, VA

Dr. Stephanie Husik Tebor, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6723 Whittier Ave, Suite 405-c, Mc Lean, VA 22101 Phone: 703-508-4836 Fax: 703-908-8834
Dr. Christine Golden, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1483 Chain Bridge Rd Ste 301, Mc Lean, VA 22101 Phone: 571-234-1057
Dr. John Leso, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6723 Whittier Ave, Mc Lean, VA 22101 Phone: 703-475-6478
Risa E Sanders, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1313 Vincent Pl, Mc Lean, VA 22101 Phone: 703-919-1959
Dr. Barbara Zelda Mazer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6862 Elm St, Suite 230, Mc Lean, VA 22101 Phone: 301-233-8179 Fax: 301-770-6768
Dr. Ilana Ilkovitch Burgh, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1645 International Dr, 327, Mc Lean, VA 22102 Phone: 240-354-7651
Meredith Taylor Wilmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1487 Chain Bridge Rd Ste 203, Mc Lean, VA 22101 Phone: 703-908-1020

Jeanine Ruth Carlson, PHD - Medicare Psychologist in Mc Lean, VA