Katie Janette Carillon, PAC - Medicare Physician Assistant in Maumelle, AR

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Katie Janette Carillon, PAC is a medicare enrolled "Physician Assistant - Medical" in Maumelle, Arkansas. She graduated from nursing school in 2011 and has 15 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.

Contact Information

Katie Janette Carillon, PAC
1701 Club Manor Dr Ste 2b,
Maumelle, AR 72113-7401
(501) 843-4555
(501) 743-1550

Map and Direction




Provider's Profile

Full NameKatie Janette Carillon
GenderFemale
SpecialityPhysician Assistant
Experience15 Years
Location1701 Club Manor Dr Ste 2b, Maumelle, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1649538679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA468 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center Heber SpingsHeber springs, ARHospital
Unity Health White County Medical CenterSearcy, ARHospital
Baptist Health Medical Center North Little RockNorth little rock, ARHospital
Baptist Health Medical Center-little RockLittle rock, ARHospital
Baptist Health Medical Center Heber SpringsHeber springs, ARNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arkansas Health Group7911802079645

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. Katie Janette Carillon allows following entities to bill medicare on her behalf.
Entity NameArkansas Health Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932118890
PECOS PAC ID: 7911802079
Enrollment ID: O20040726000650
Entity NameArkansas Central Primary Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881848257
PECOS PAC ID: 8729142682
Enrollment ID: O20090122000093
Entity NameSoutheast Arkansas Emergency Physicians LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922475078
PECOS PAC ID: 6204146319
Enrollment ID: O20151102001647

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 AddressPractice Location Address
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

Reviews and Comments


Physician Assistant Nurses in Maumelle, AR

Emily Elisa Hodges, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 102 Towne Centre Dr Ste 2, Maumelle, AR 72113
Phone: 501-614-2470    Fax: 501-614-2469

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.