Keith Carrillo, NP in Compton, CA - Medicare Nurse Practitioner

Keith Carrillo, NP is a medicare enrolled "Nurse Practitioner - Family" in Compton, California. His current practice location is 920 N Long Beach Blvd # 2259, Compton, California. You can reach out to his office (for appointments etc.) via phone at (323) 732-0100.

Keith Carrillo is licensed to practice in California (license number 95011765) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265098784.

Contact Information

	Keith Carrillo, NP
	920 N Long Beach Blvd # 2259, Compton, CA 90221-2260
	(323) 732-0100
	Not Available

Map and Direction

Provider's Profile

Full Name	Keith Carrillo
Gender	Male
Speciality	Nurse Practitioner - Family
Location	920 N Long Beach Blvd # 2259, Compton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265098784
Provider Enumeration Date: 05/10/2019
Last Update Date: 06/30/2021

Medicare PECOS Information:

PECOS PAC ID: 1355873340
Enrollment ID: I20241015003998

Medical Identifiers

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

Identifier	Type	State	Issuer
1265098784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011765 (California)	Primary

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. Keith Carrillo allows following entities to bill medicare on his behalf.

Entity Name	Exer Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588901532 PECOS PAC ID: 9032359534 Enrollment ID: O20130705000153

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. Keith 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
Keith Carrillo, NP 920 N Long Beach Blvd # 2259, Compton, CA 90221-2260 Ph: (323) 732-0100	Keith Carrillo, NP 920 N Long Beach Blvd # 2259, Compton, CA 90221-2260 Ph: (323) 732-0100

Reviews and Comments

Nurse Practitioner Nurses in Compton, CA

Ms. Gloria Ngozi Okoh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 349 W Compton Blvd, Compton, CA 90220 Phone: 310-438-2151
Katina Latrice Holliday, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4200 E Compton Blvd, Compton, CA 90221 Phone: 213-488-9559
Ms. Shavon Monique Weatherspoon, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 910 N Dwight Ave, Compton, CA 90220 Phone: 310-714-0734
Erika B Yanez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 S Grandee Ave, Compton, CA 90220 Phone: 323-812-8723
Debby Mcclendon, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 N Central Ave, Compton, CA 90220 Phone: 310-635-7123 Fax: 310-635-0535
Jeanette Monique Kidd, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1112 N Santa Fe Ave, Compton, CA 90221 Phone: 310-638-1100 Fax: 310-638-0008
Mrs. Benedicta Ngozi Ilouno, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 S Long Beach Blvd, Compton, CA 90221 Phone: 310-627-5850 Fax: 310-532-7888

Keith Carrillo, NP - Medicare Nurse Practitioner in Compton, CA