Mary Carrillo, in Florham Park, NJ - Medicare Certified Registered Nurse Anesthetist (crna)

Mary Carrillo, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Florham Park, New Jersey. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Summit Medical Group Pa and her current practice location is 140 Park Ave, Florham Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 404-9700.

Mary Carrillo is licensed to practice in New Jersey (license number 26NJ00602400) 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 1356722268.

Contact Information

	Mary Carrillo,
	140 Park Ave, Florham Park, NJ 07932-1049
	(973) 404-9700
	(973) 377-4709

Map and Direction

Provider's Profile

Full Name	Mary Carrillo
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	140 Park Ave, Florham Park, New Jersey
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:

Mary Carrillo graduated from nursing school in 2015

NPI Data:

NPI Number: 1356722268
Provider Enumeration Date: 06/16/2015
Last Update Date: 01/11/2018

Medicare PECOS Information:

PECOS PAC ID: 3476858994
Enrollment ID: I20160222001571

Medical Identifiers

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

Identifier	Type	State	Issuer
1356722268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR12741800 (New Jersey)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	26NJ00602400 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Medical Group Pa	5395642276	1147

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. Mary Carrillo allows following entities to bill medicare on her behalf.

Entity Name	New Jersey Healthcare Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555

Entity Name	Summit Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011

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. Mary 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
Mary Carrillo, 100 Route 59, Suite 105, Suffern, NY 10901-4927 Ph: (845) 357-5775	Mary Carrillo, 140 Park Ave, Florham Park, NJ 07932-1049 Ph: (973) 404-9700

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Florham Park, NJ

Dr. Michael Angelo Reniva, DNP APN/CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 140 Park Ave, Florham Park, NJ 07932 Phone: 973-404-9700 Fax: 973-377-4709
Caroline Bernabe Remo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 140 Park Ave, Florham Park, NJ 07932 Phone: 973-404-9700 Fax: 973-377-4709
Meredith Christine Wing, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 140 Park Ave, Florham Park, NJ 07932 Phone: 973-404-9700 Fax: 973-377-4709
Maksim Ivanouski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30b Vreeland Rd, Suite 200 Nj Anesthesia Associates, Llc, Florham Park, NJ 07932 Phone: 937-660-9334
Chiara Paguirigan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 140 Park Ave, Florham Park, NJ 07932 Phone: 973-404-9700
Katy Mabunay Matilla, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 140 Park Ave, Florham Park, NJ 07932 Phone: 973-718-5800 Fax: 973-829-4332
Lindsey Allen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30b Vreeland Rd Ste 200, Florham Park, NJ 07932 Phone: 973-462-2936

Mary Carrillo, - Medicare Certified Registered Nurse Anesthetist (crna) in Florham Park, NJ