Dr Luis Fernando Carrillo, FNP in Portland, OR

Dr Luis Fernando Carrillo, FNP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. His current practice location is 6538 N Kerby Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 283-8351.

Dr Luis Fernando Carrillo is licensed to practice in Oregon (license number 200550017NP) 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 1083617658.

Contact Information

	Dr Luis Fernando Carrillo, FNP
	6538 N Kerby Ave, Portland, OR 97217-1939
	(503) 283-8351
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Luis Fernando Carrillo
Gender	Male
Speciality	Nurse Practitioner - Family
Location	6538 N Kerby Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083617658
Provider Enumeration Date: 05/27/2005
Last Update Date: 04/02/2025

Medicare PECOS Information:

PECOS PAC ID: 6204867187
Enrollment ID: I20050830001084

Medical Identifiers

Medical identifiers for Dr Luis Fernando Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083617658	NPI	-	NPPES
0022959	Medicaid	OR
ANP 397	Other	OR	OSBN WORKER'S COMP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	200550017NP (Oregon)	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. Dr Luis Fernando Carrillo allows following entities to bill medicare on his behalf.

Entity Name	Multnomah County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609914787 PECOS PAC ID: 6608771787 Enrollment ID: O20031203000025

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. Dr Luis Fernando 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
Dr Luis Fernando Carrillo, FNP 6538 N Kerby Ave, Portland, OR 97217-1939 Ph: (503) 283-8351	Dr Luis Fernando Carrillo, FNP 6538 N Kerby Ave, Portland, OR 97217-1939 Ph: (503) 283-8351

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Dr Luis Fernando Carrillo, FNP - Medicare Nurse Practitioner in Portland, OR