Jimmy Rafael Carrillo, PA-C is a medicare enrolled "Physician Assistant - Medical" in Bonifay, Florida. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Holmes County Hospital Corp, Rmcca Clinic B, Llc and his current practice location is
3269 Highway 90, Bonifay, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 547-9991.
Jimmy Rafael Carrillo is licensed to practice in Florida (license number PA9106175) 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 1285910778.
Provider's Profile
| Full Name | Jimmy Rafael Carrillo |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 15 Years |
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| Location | 3269 Highway 90, Bonifay, Florida |
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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:
- Jimmy Rafael Carrillo graduated from nursing school in 2011
NPI Data:
- NPI Number: 1285910778
- Provider Enumeration Date: 10/27/2011
- Last Update Date: 10/27/2011
Medicare PECOS Information:
- PECOS PAC ID: 7416114640
- Enrollment ID: I20120131000392
Medical Identifiers
Medical identifiers for Jimmy Rafael Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285910778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA9106175 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Holmes County Hospital Corp | 3375557887 | 20 |
| Rmcca Clinic B, Llc | 3072957406 | 11 |
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. Jimmy Rafael 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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Jimmy Rafael Carrillo, PA-C
3269 Highway 90,
Bonifay, FL 32425-6001
Ph: (850) 547-9991 | Jimmy Rafael Carrillo, PA-C
3269 Highway 90,
Bonifay, FL 32425-6001
Ph: (850) 547-9991 |
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