Jesus Carrillo, is a medicare enrolled "Physician Assistant" physician in Woodburn, Oregon. His current practice location is
1175 Mount Hood Ave, Woodburn, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 982-2000.
Jesus Carrillo is licensed to practice in Oregon (license number PA222434) 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 1013782788.
Physician's Profile
Full Name | Jesus Carrillo |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1175 Mount Hood Ave, Woodburn, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013782788
- Provider Enumeration Date: 11/22/2023
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 3870022122
- Enrollment ID: I20250130003995
Medical Identifiers
Medical identifiers for Jesus Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013782788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PA222434 (Oregon) | Secondary |
363A00000X | Physician Assistant | PA222434 (Oregon) | 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. Jesus 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 |
Jesus Carrillo, Po Box 190, Toppenish, WA 98948-0190 Ph: (509) 865-2395 | Jesus Carrillo, 1175 Mount Hood Ave, Woodburn, OR 97071-9060 Ph: (503) 982-2000 |
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