Jesus Carrillo, is a medicare enrolled "Physician Assistant" physician in Woodburn, Oregon. He graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Yakima Valley Farm Workers Clinic and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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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| Experience | 1 Years |
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| Location | 1175 Mount Hood Ave, Woodburn, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jesus Carrillo graduated from medical school in 2024
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 |
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| 207Q00000X | Family Medicine | PA222434 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA222434 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Yakima Valley Farm Workers Clinic | 4385541986 | 222 |
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 |
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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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