Rebecca Carrillo, MD - Medicare Psychiatry & Neurology in San Andreas, CA

  1. Home
  2. Psychiatry & Neurology
  3. CA
  4. San Andreas
Rebecca Carrillo, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in San Andreas, California. Her current practice location is 704 Mountain Ranch Rd Ste 103, San Andreas, California. You can reach out to her office (for appointments etc.) via phone at (209) 754-6525.

Rebecca Carrillo is licensed to practice in California (license number A115409) 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 1003088428.

Contact Information

Rebecca Carrillo, MD
704 Mountain Ranch Rd Ste 103,
San Andreas, CA 95249-8903
(209) 754-6525
Not Available

Map and Direction




Physician's Profile

Full NameRebecca Carrillo
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location704 Mountain Ranch Rd Ste 103, San Andreas, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003088428
  • Provider Enumeration Date: 03/26/2008
  • Last Update Date: 10/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9234379108
  • Enrollment ID: I20130717000654

Medical Identifiers

Medical identifiers for Rebecca Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003088428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry A115409 (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. Rebecca Carrillo allows following entities to bill medicare on her behalf.
Entity NameCity Of Berkeley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689799520
PECOS PAC ID: 5294634606
Enrollment ID: O20170525001891
Entity NameCounty Of Calaveras
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811945132
PECOS PAC ID: 1052318045
Enrollment ID: O20250520004655

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. Rebecca 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 AddressPractice Location Address
Rebecca Carrillo, MD
2640 Martin Luther King Jr Way,
Berkeley, CA 94704-3238

Ph: (510) 981-5290		Rebecca Carrillo, MD
704 Mountain Ranch Rd Ste 103,
San Andreas, CA 95249-8903

Ph: (209) 754-6525

Reviews and Comments


Psychiatry & Neurology Doctors in San Andreas, CA

Thomas William Haspel, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 891 Mountain Ranch Rd, San Andreas, CA 95249
Phone: 209-754-6525    Fax: 209-257-2434
Dr. Robert Kenneth Mulert, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 891 Mountain Ranch Rd, San Andreas, CA 95249
Phone: 209-754-6525    Fax: 209-754-6849
Danielle Pyevich, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 891 Mountain Ranch Rd, San Andreas, CA 95249
Phone: 209-754-6525    Fax: 209-754-6534

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.