Jacqueline Tillery, - in Anchorage, AK

Jacqueline Tillery, is a Assisted Living Facility based in Anchorage, Alaska. Jacqueline Tillery is licensed to practice in * (Not Available) (license number ) and her current practice location is 9441 Kylie Cir, Anchorage, Alaska. She can be reached at her office (for appointments etc.) via phone at (919) 808-7163.

NPI number for Jacqueline Tillery is 1578211496 and her current mailing address is 9441 Kylie Cir, Anchorage, Alaska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578211496.

Contact Information

Jacqueline Tillery,
9441 Kylie Cir,
Anchorage, AK 99502-1448
(919) 808-7163
Not Available



Healthcare Provider's Profile

Full NameJacqueline Tillery
GenderFemale
SpecialityAssisted Living Facility
Location9441 Kylie Cir, Anchorage, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578211496
  • Provider Enumeration Date: 03/10/2022
  • Last Update Date: 05/02/2022

Medical Identifiers

Medical identifiers for Jacqueline Tillery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578211496NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TM1800XPsychologist - Intellectual & Developmental Disabilities (* (Not Available))Secondary
310400000XAssisted Living Facility (* (Not Available))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. Jacqueline Tillery 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 AddressPractice Location Address
Jacqueline Tillery,
9441 Kylie Cir,
Anchorage, AK 99502-1448

Ph: () -
Jacqueline Tillery,
9441 Kylie Cir,
Anchorage, AK 99502-1448

Ph: (919) 808-7163

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