Mayra Colin Carrillo, LPC in Boardman, OR - Medicare Counselor Provider

Mayra Colin Carrillo, LPC is a medicare enrolled "Counselor - Professional" provider in Boardman, Oregon. Her current practice location is 104 S.w. Kinkade Rd., Boardman, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 481-2911.

Mayra Colin Carrillo is licensed to practice in Oregon (license number C7959) 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 1801151121.

Contact Information

	Mayra Colin Carrillo, LPC
	104 S.w. Kinkade Rd., Boardman, OR 97818
	(541) 481-2911
	(541) 481-2006

Map and Direction

Healthcare Provider's Profile

Full Name	Mayra Colin Carrillo
Gender	Female
Speciality	Counselor - Professional
Location	104 S.w. Kinkade Rd., Boardman, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801151121
Provider Enumeration Date: 07/12/2012
Last Update Date: 10/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0547606865
Enrollment ID: I20240308003101

Medical Identifiers

Medical identifiers for Mayra Colin Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801151121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	C7959 (Oregon)	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. Mayra Colin Carrillo allows following entities to bill medicare on her behalf.

Entity Name	Community Counseling Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487992665 PECOS PAC ID: 0446484885 Enrollment ID: O20150825005568

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. Mayra Colin Carrillo 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
Mayra Colin Carrillo, LPC Po Box 469, Heppner, OR 97836-0469 Ph: (541) 676-9161	Mayra Colin Carrillo, LPC 104 S.w. Kinkade Rd., Boardman, OR 97818 Ph: (541) 481-2911

Reviews and Comments

Counselor in Boardman, OR

Stephanie Cronen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70362 Kunze Ln, Boardman, OR 97818 Phone: 541-481-3233 Fax: 541-481-3234
Letisia Ruiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70362 Kunze Ln, Boardman, OR 97818 Phone: 541-481-3233 Fax: 541-481-3234
Samantha T Tompkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70362 Kunze Ln, Boardman, OR 97818 Phone: 541-481-3233 Fax: 541-481-3234
Jessie Blakeman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70362 Kunze Ln, Boardman, OR 97818 Phone: 541-481-3233 Fax: 541-481-3234
Carla C Llamas, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 70362 Kunze Ln, Boardman, OR 97818 Phone: 541-481-3233 Fax: 541-481-3234
Zaira Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Sw Kinkade Avenue, Boardman, OR 97836 Phone: 541-481-2911
Jordan Jess Connell, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Sw Kinkade Avenue, Boardman, OR 97818 Phone: 541-481-2911 Fax: 541-481-2006

Mayra Colin Carrillo, LPC - Medicare Counselor in Boardman, OR