Carissa Rose Jackel
Pediatrics | Female
Carissa Rose Jackel is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Carissa Rose Jackel is
3550 Market St, Philadelphia, Pennsylvania - 19104. She can be contacted on phone at
215-590-1000 and fax number 215-590-4844.
Carissa Rose Jackel is a sole proprietor of her business.
NPI number (Unique professional ID) for Carissa Rose Jackel is
1295051654 which was assigned by NPPES on 10 Apr, 2010 and it was last updated on 21 Nov, 2018.
Carissa Rose Jackel license number is
MD448416 for Pediatrics (208000000X) in Pennsylvania.
Carissa Rose Jackel is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Carissa Rose Jackel basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Carissa Rose Jackel |
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| Gender : | Female |
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Business Address:
Carissa Rose Jackel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3550 Market St
Philadelphia, PA, 19104
United States |
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| Phone Number : | 215-590-1000 |
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| Fax Number : | 215-590-4844 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295051654 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Apr, 2010 |
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| Last Updated On : | 21 Nov, 2018 |
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Medicare Participation:
Carissa Rose Jackel participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3476842378 |
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| Medicare Enrollment ID : | I20160517000342 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Pennsylvania State University College Of Medicine |
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| Graduation Year : | 2010 |
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| Accepts Medicare? | Yes. Carissa Rose Jackel accepts medicare insurance. |
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Group Practice Association:
Carissa Rose Jackel is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Carissa Rose Jackel is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Childrens Health Care Associates Inc | 1355253527 | 172 | 3401 Civic Ctr Blvd
Philadelphia, PA - 191044319 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carissa Rose Jackel are as mentioned. Primary taxonomy code for Carissa Rose Jackel is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD448416 | PA |
Legacy Identifiers:
Other legacy medical identifiers of Carissa Rose Jackel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1032348390001 | MEDICAID | PA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA, 19107-4824
United States | PHILADELPHIA, PA | 215-503-4053 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Penn Square East, 9th Floor North Tower
Philadelphia, PA, 19107
United States |
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| Phone Number : | 267-425-9200 |
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| Fax Number : | 267-425-9299 |
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Business Location:
Patients can refer following map for directions to
Carissa Rose Jackel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.