Shirley Carrillo, FNP in Oakley, CA - Medicare Nurse Practitioner

Shirley Carrillo, FNP is a medicare enrolled "Nurse Practitioner" in Oakley, California. Her current practice location is 2109 Truman Ln, Oakley, California. You can reach out to her office (for appointments etc.) via phone at (925) 522-9689.

Shirley Carrillo is licensed to practice in California (license number 503951) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154672566.

Contact Information

	Shirley Carrillo, FNP
	2109 Truman Ln, Oakley, CA 94561-3991
	(925) 522-9689
	Not Available

Map and Direction

Provider's Profile

Full Name	Shirley Carrillo
Gender	Female
Speciality	Nurse Practitioner
Location	2109 Truman Ln, Oakley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154672566
Provider Enumeration Date: 09/25/2012
Last Update Date: 09/25/2012

Medicare PECOS Information:

PECOS PAC ID: 6800144593
Enrollment ID: I20180813003288

Medical Identifiers

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

Identifier	Type	State	Issuer
1154672566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	503951 (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. Shirley Carrillo allows following entities to bill medicare on her behalf.

Entity Name	Integrated Pain Management Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922198779 PECOS PAC ID: 0547252918 Enrollment ID: O20040402001211

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. Shirley 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
Shirley Carrillo, FNP 2109 Truman Ln, Oakley, CA 94561-3991 Ph: (925) 522-9689	Shirley Carrillo, FNP 2109 Truman Ln, Oakley, CA 94561-3991 Ph: (925) 522-9689

Reviews and Comments

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Shirley Carrillo, FNP - Medicare Nurse Practitioner in Oakley, CA