Jeanine R. Carlson, Phd, Llc - Medicare Mental Health Clinic in Mc Lean, VA

Jeanine R. Carlson, Phd, Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Mc Lean, Virginia. The current practice location for Jeanine R. Carlson, Phd, Llc is 1487 Chain Bridge Rd Ste 202, Mc Lean, Virginia. For appointments, you can reach them via phone at (703) 919-0917. The mailing address for Jeanine R. Carlson, Phd, Llc is 1487 Chain Bridge Rd Ste 202, Mc Lean, Virginia and phone number is (703) 919-0917.

Jeanine R. Carlson, Phd, Llc is licensed to practice in Virginia (license number VA2078). The clinic also participates in the medicare program and its NPI number is 1144570771. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (703) 919-0917.

Contact Information

Jeanine R. Carlson, Phd, Llc
1487 Chain Bridge Rd Ste 202
Mc Lean
VA 22101-5723
(703) 919-0917
Not Available

Mental Health Clinic Profile

Full NameJeanine R. Carlson, Phd, Llc
SpecialityPsychologist
Location1487 Chain Bridge Rd Ste 202, Mc Lean, Virginia
Authorized Official Name and PositionJeanine R Carlson (OWNER)
Authorized Official Contact7039190917
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeanine R. Carlson, Phd, Llc
1487 Chain Bridge Rd Ste 202
Mc Lean
VA 22101-5723

Ph: (703) 919-0917
Jeanine R. Carlson, Phd, Llc
1487 Chain Bridge Rd Ste 202
Mc Lean
VA 22101-5723

Ph: (703) 919-0917

NPI Details:

NPI Number1144570771
Provider Enumeration Date09/11/2012
Last Update Date09/11/2012

Medicare PECOS Information:

Medicare PECOS PAC ID8224275359
Medicare Enrollment IDO20130509000466

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Medical Identifiers

Medical identifiers for Jeanine R. Carlson, Phd, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144570771NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical VA2078 (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. Jeanine R. Carlson, Phd, Llc acts as a billing entity for following providers:
Provider NameJeanine R Carlson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1972794642
PECOS PAC ID: 8527219880
Enrollment ID: I20150901002990

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