Jacqueline Lizet Carrillo, AG-NP in San Francisco, CA

Jacqueline Lizet Carrillo, AG-NP is a medicare enrolled "Nurse Practitioner - Primary Care" in San Francisco, California. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northbay Physicians Surgery Center, Llc, Northbay Health Medical Foundation and her current practice location is 4150 Clement St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 750-2110.

Jacqueline Lizet Carrillo is licensed to practice in California (license number 95018581) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063178861.

Contact Information

	Jacqueline Lizet Carrillo, AG-NP
	4150 Clement St, San Francisco, CA 94121-1563
	(415) 750-2110
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Lizet Carrillo
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	4150 Clement St, San Francisco, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Lizet Carrillo graduated from nursing school in 2021

NPI Data:

NPI Number: 1063178861
Provider Enumeration Date: 11/16/2021
Last Update Date: 06/22/2026

Medicare PECOS Information:

PECOS PAC ID: 6800327545
Enrollment ID: I20241004000929

Medical Identifiers

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

Identifier	Type	State	Issuer
1063178861	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95018581 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northbay Physicians Surgery Center, Llc	0042122244	343
Northbay Health Medical Foundation	3274010871	191

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. Jacqueline Lizet Carrillo allows following entities to bill medicare on her behalf.

Entity Name	Northbay Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409

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. Jacqueline Lizet 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
Jacqueline Lizet Carrillo, AG-NP 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: () -	Jacqueline Lizet Carrillo, AG-NP 4150 Clement St, San Francisco, CA 94121-1563 Ph: (415) 750-2110

Reviews and Comments

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Natalya Malyuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Capp St, San Francisco, CA 94110 Phone: 415-841-1427
Makeda Gant, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Embarcadero Ctr Fl 19, San Francisco, CA 94111 Phone: 415-658-6791 Fax: 415-252-7176
Erin Maureen Smith, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 Market St, San Francisco, CA 94103 Phone: 415-863-3883

Jacqueline Lizet Carrillo, AG-NP - Medicare Nurse Practitioner in San Francisco, CA