Peter S Carrillo, MD is a medicare enrolled "Surgery" physician in Brooklyn, Ohio. He went to Northeastern Ohio University College Of Medicine and graduated in 1991 and has 34 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Wound Care Consultants Llc and his current practice location is
7575 Northcliff Ave 301, Brooklyn, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 425-7806.
Peter S Carrillo is licensed to practice in Ohio (license number 35066260C) 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 1063583193.
Physician's Profile
| Full Name | Peter S Carrillo |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 34 Years |
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| Location | 7575 Northcliff Ave 301, Brooklyn, Ohio |
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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:
- Peter S Carrillo attended and graduated from Northeastern Ohio University College Of Medicine in 1991
NPI Data:
- NPI Number: 1063583193
- Provider Enumeration Date: 11/12/2006
- Last Update Date: 09/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 4688628506
- Enrollment ID: I20050418000685
Medical Identifiers
Medical identifiers for Peter S Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063583193 | NPI | - | NPPES |
| 2164321 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 35066260C (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wound Care Consultants Llc | 2567646359 | 28 |
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. Peter S Carrillo allows following entities to bill medicare on his behalf.
| Entity Name | Wound Care Consultants Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831495373
PECOS PAC ID: 2567646359
Enrollment ID: O20110401000409 |
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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. Peter S 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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Peter S Carrillo, MD
7575 Northcliff Ave 301,
Brooklyn, OH 44144-3265
Ph: (330) 425-7806 | Peter S Carrillo, MD
7575 Northcliff Ave 301,
Brooklyn, OH 44144-3265
Ph: (330) 425-7806 |
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