Brenda Carbajal, in Blue Island, IL - Medicare Physician Assistant

Brenda Carbajal, is a medicare enrolled "Physician Assistant" in Blue Island, Illinois. Her current practice location is 12200 Western Ave, Blue Island, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 631-2781.

Brenda Carbajal 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 1013523620.

Contact Information

	Brenda Carbajal,
	12200 Western Ave, Blue Island, IL 60406-1398
	(708) 631-2781
	Not Available

Map and Direction

Provider's Profile

Full Name	Brenda Carbajal
Gender	Female
Speciality	Physician Assistant
Location	12200 Western Ave, Blue Island, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013523620
Provider Enumeration Date: 09/18/2020
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 0749652501
Enrollment ID: I20230206000575

Medical Identifiers

Medical identifiers for Brenda Carbajal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013523620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (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. Brenda Carbajal 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
Brenda Carbajal, 1320 W Lombard St, Davenport, IA 52804-2029 Ph: () -	Brenda Carbajal, 12200 Western Ave, Blue Island, IL 60406-1398 Ph: (708) 631-2781

Reviews and Comments

Physician Assistant Nurses in Blue Island, IL

Anthony Edward Falcon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000
Steven Kluck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000
David Oludamilola Sode, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13000 Maple Ave, Blue Island, IL 60406 Phone: 708-385-6100
Steven Milenkovic, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2338 New St, Blue Island, IL 60406 Phone: 708-824-1114 Fax: 708-824-9341
Abbas M.b Ibrahim Sr., Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12935 S Gregory Street, Blue Island, IL 60406 Phone: 708-597-2000
Noreen B Keleher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-226-7174

Brenda Carbajal, - Medicare Physician Assistant in Blue Island, IL