Pedro Carrillo, MD in Anaheim, CA - Medicare Family Medicine

Pedro Carrillo, MD is a medicare enrolled "Family Medicine" physician in Anaheim, California. His current practice location is 9918 Katella Ave, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at (714) 644-9494.

Pedro Carrillo is licensed to practice in California (license number G55750) 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 1154330504.

Contact Information

	Pedro Carrillo, MD
	9918 Katella Ave, Anaheim, CA 92804-6465
	(714) 644-9494
	Not Available

Map and Direction

Physician's Profile

Full Name	Pedro Carrillo
Gender	Male
Speciality	Family Medicine
Location	9918 Katella Ave, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154330504
Provider Enumeration Date: 08/05/2006
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7719958370
Enrollment ID: I20040805000678

Medical Identifiers

Medical identifiers for Pedro Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154330504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G55750 (California)	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. Pedro Carrillo allows following entities to bill medicare on his behalf.

Entity Name	Families Together Of Orange County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194122457 PECOS PAC ID: 7517268816 Enrollment ID: O20151210000638

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. Pedro 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
Pedro Carrillo, MD 661 W 1st St Ste G, Tustin, CA 92780-2939 Ph: (714) 665-9890	Pedro Carrillo, MD 9918 Katella Ave, Anaheim, CA 92804-6465 Ph: (714) 644-9494

Reviews and Comments

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Pedro Carrillo, MD - Medicare Family Medicine in Anaheim, CA