Michelle Carolina Carvajal Villalba, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. Her current practice location is
600 N Wolfe St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(347) 806-8908.
Michelle Carolina Carvajal Villalba is licensed to practice in * (Not Available) (license number ) 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 1235889114.
Physician's Profile
| Full Name | Michelle Carolina Carvajal Villalba |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 600 N Wolfe St, Baltimore, Maryland |
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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: 1235889114
- Provider Enumeration Date: 03/24/2022
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496292054
- Enrollment ID: I20240801001149
Medical Identifiers
Medical identifiers for Michelle Carolina Carvajal Villalba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235889114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 0194 (Maryland) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Michelle Carolina Carvajal Villalba 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 |
Michelle Carolina Carvajal Villalba, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423 | Michelle Carolina Carvajal Villalba, MD 600 N Wolfe St, Baltimore, MD 21287-0005 Ph: (347) 806-8908 |
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