Mr David Orlando Caraballo, PA is a medicare enrolled "Physician Assistant - Medical" in Ridgeland, South Carolina. His current practice location is
109 S. Green Street, Ridgeland, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 726-6773.
Mr David Orlando Caraballo is licensed to practice in South Carolina (license number 1806) 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 1114253242.
Provider's Profile
| Full Name | Mr David Orlando Caraballo |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 109 S. Green Street, Ridgeland, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114253242
- Provider Enumeration Date: 10/24/2009
- Last Update Date: 07/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799923173
- Enrollment ID: I20130523000617
Medical Identifiers
Medical identifiers for Mr David Orlando Caraballo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114253242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1806 (South Carolina) | Primary |
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. Mr David Orlando Caraballo 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 |
Mr David Orlando Caraballo, PA 836 E. 65th Street, Suite 22, Savannah, GA 31405 Ph: (912) 819-7878 | Mr David Orlando Caraballo, PA 109 S. Green Street, Ridgeland, SC 29936 Ph: (843) 726-6773 |
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