Dominick J Carillo, MD in Glens Falls, NY - Medicare Emergency Medicine

Dominick J Carillo, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Glens Falls, New York. His current practice location is 100 Park St, Glens Falls Hospital, Glens Falls, New York. You can reach out to his office (for appointments etc.) via phone at (518) 926-3000.

Dominick J Carillo is licensed to practice in New York (license number 189110) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336214469.

Contact Information

	Dominick J Carillo, MD
	100 Park St, Glens Falls Hospital, Glens Falls, NY 12801-4413
	(518) 926-3000
	(518) 926-3127

Map and Direction

Physician's Profile

Full Name	Dominick J Carillo
Gender	Male
Speciality	Emergency Medicine - Emergency Medical Services
Location	100 Park St, Glens Falls, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336214469
Provider Enumeration Date: 11/22/2006
Last Update Date: 05/05/2017

Medicare PECOS Information:

PECOS PAC ID: 8729066170
Enrollment ID: I20080611000099

Medical Identifiers

Medical identifiers for Dominick J Carillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336214469	NPI	-	NPPES
70021A	Other		MEDICARE PART B

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	189110 (New York)	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. Dominick J Carillo allows following entities to bill medicare on his behalf.

Entity Name	Albany Medical College
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386

Entity Name	Emergency Care Services Of New York Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639236656 PECOS PAC ID: 3678678646 Enrollment ID: O20070419000474

Entity Name	Albany Medical College
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621

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. Dominick J Carillo 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
Dominick J Carillo, MD 100 Park St, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-4413 Ph: (518) 926-5100	Dominick J Carillo, MD 100 Park St, Glens Falls Hospital, Glens Falls, NY 12801-4413 Ph: (518) 926-3000

Reviews and Comments

Emergency Medicine Doctors in Glens Falls, NY

Michael Curran Robinson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Park St, Glens Falls, NY 12801 Phone: 518-926-1000
Robert Daniel Desiderio, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Park St, Glens Falls, NY 12801 Phone: 518-926-3120
Michael Gerald Holland, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 102 Park St, The Wound Healing Center, Glens Falls, NY 12801 Phone: 518-926-1500 Fax: 518-926-1505
Eric Willard Rogers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Broad St, Glens Falls, NY 12801 Phone: 518-792-2223 Fax: 518-792-8231
Laurie J Gorgas, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Broad St, Glens Falls, NY 12801 Phone: 518-792-2223 Fax: 518-792-8231
Joanne Marie Mcdonough, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Park St, Glens Falls, NY 12801 Phone: 518-926-1000

Dominick J Carillo, MD - Medicare Emergency Medicine in Glens Falls, NY