Katie Janette Carillon, PAC is a medicare enrolled "Physician Assistant - Medical" in Maumelle, Arkansas. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Arkansas Health Group and her current practice location is
1701 Club Manor Dr Ste 2b, Maumelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 843-4555.
Katie Janette Carillon is licensed to practice in Arkansas (license number PA468) 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 1649538679.
Provider's Profile
| Full Name | Katie Janette Carillon |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 14 Years |
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| Location | 1701 Club Manor Dr Ste 2b, Maumelle, Arkansas |
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| Accepts Medicare Assignments | Yes. She 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:
- Katie Janette Carillon graduated from nursing school in 2011
NPI Data:
- NPI Number: 1649538679
- Provider Enumeration Date: 04/27/2012
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133384704
- Enrollment ID: I20120705000137
Medical Identifiers
Medical identifiers for Katie Janette Carillon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649538679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA468 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Arkansas Health Group | 7911802079 | 579 |
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. Katie Janette Carillon 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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Katie Janette Carillon, PAC
11001 Executive Center Dr Ste 200,
Little Rock, AR 72211-4393
Ph: (501) 851-7402 | Katie Janette Carillon, PAC
1701 Club Manor Dr Ste 2b,
Maumelle, AR 72113-7401
Ph: (501) 843-4555 |
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