Mrs Lori A Carrillo, MD in Phoenix, AZ - Medicare Obstetrics & Gynecology

Mrs Lori A Carrillo, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Phoenix, Arizona. Her current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 263-1200.

Mrs Lori A Carrillo is licensed to practice in Oregon (license number MD196778) 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 1205864790.

Contact Information

	Mrs Lori A Carrillo, MD
	4212 N 16th St, Phoenix, AZ 85016-5319
	(602) 263-1200
	(602) 263-1619

Map and Direction

Physician's Profile

Full Name	Mrs Lori A Carrillo
Gender	Female
Speciality	Obstetrics & Gynecology
Location	4212 N 16th St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205864790
Provider Enumeration Date: 06/30/2006
Last Update Date: 01/28/2024

Medicare PECOS Information:

PECOS PAC ID: 6901876127
Enrollment ID: I20200211000518

Medical Identifiers

Medical identifiers for Mrs Lori A Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205864790	NPI	-	NPPES
500775586	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD196778 (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. Mrs Lori A Carrillo allows following entities to bill medicare on her behalf.

Entity Name	Northwest Medical Foundation Of Tillamook
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676

Entity Name	Centennial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518103274 PECOS PAC ID: 6103982962 Enrollment ID: O20090303000063

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. Mrs Lori A 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
Mrs Lori A Carrillo, MD Po Box 95460, Cleveland, OH 44101-0033 Ph: (602) 263-1200	Mrs Lori A Carrillo, MD 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1200

Reviews and Comments

Obstetrics & Gynecology Doctors in Phoenix, AZ

Mr. Memie Clifton Burton, MD. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th Street, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637
Karen Christine Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1619
Dr. Jose Gomez Cisneros, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3140 N 35th Ave Ste 7, Phoenix, AZ 85017 Phone: 602-353-6656 Fax: 602-442-2065
Dr. Joel Barkley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011
Dr. Robert Stuart Fowler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000
Mark D Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 Phone: 602-343-2767 Fax: 602-343-2766
Jill D Gibson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014 Phone: 602-265-9161 Fax: 602-265-1823

Mrs Lori A Carrillo, MD - Medicare Obstetrics & Gynecology in Phoenix, AZ