Mikaela Carrillo, RD, CD in Spokane, WA - Medicare Dietitian, Registered Provider

Mikaela Carrillo, RD, CD is a medicare enrolled "Dietitian, Registered" provider in Spokane, Washington. Her current practice location is 2020 E 29th Ave Ste 210, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at (949) 697-1175.

Mikaela Carrillo is licensed to practice in Washington (license number 6) 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 1891283560.

Contact Information

	Mikaela Carrillo, RD, CD
	2020 E 29th Ave Ste 210, Spokane, WA 99203-3950
	(949) 697-1175
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mikaela Carrillo
Gender	Female
Speciality	Dietitian, Registered
Location	2020 E 29th Ave Ste 210, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891283560
Provider Enumeration Date: 04/27/2018
Last Update Date: 04/27/2018

Medicare PECOS Information:

PECOS PAC ID: 8426472051
Enrollment ID: I20200715003373

Medical Identifiers

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

Identifier	Type	State	Issuer
1891283560	NPI	-	NPPES
86070124	Other		COMMISSION ON DIETETIC REGISTRATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	6 (Washington)	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. Mikaela Carrillo allows following entities to bill medicare on her behalf.

Provider Name	Emily Program Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154696698 PECOS PAC ID: 5193623254 Enrollment ID: O20110419000204

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. Mikaela 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
Mikaela Carrillo, RD, CD 2020 E 29th Ave Ste 210, Spokane, WA 99203-3950 Ph: () -	Mikaela Carrillo, RD, CD 2020 E 29th Ave Ste 210, Spokane, WA 99203-3950 Ph: (949) 697-1175

Reviews and Comments

Dietitian, Registered in Spokane, WA

Katherine Leigh Lefler, RD Dietitian Medicare: Medicare Enrolled Practice Location: 910 W 5th Ave, Suite 800, Spokane, WA 99204 Phone: 509-838-2531
Tessa Janelle Farr, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 910 W 5th Ave Ste 800, Spokane, WA 99204 Phone: 509-838-2531 Fax: 509-755-6580
R. Tucker Reiley, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15404 N Addison Ct, Spokane, WA 99208 Phone: 833-378-2162
Breanna K Bergeron, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 212 E Central Ave, Ste. 440, Spokane, WA 99208 Phone: 509-252-9602 Fax: 509-227-7070
Erica Lynn Baty, MS, RD, CD Dietitian Medicare: Medicare Enrolled Practice Location: 3919 N Maple St, Spokane, WA 99205 Phone: 509-444-8200 Fax: 509-444-7806
Jaclyn Michele Helm, MS,RD,CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2820 N Astor St, Spokane, WA 99207 Phone: 509-252-5792 Fax: 509-340-7323
Lisa Harmeyer, Dietitian Medicare: Medicare Enrolled Practice Location: 2020 E 29th Ave Ste 200, Spokane, WA 99203 Phone: 888-364-5977

Mikaela Carrillo, RD, CD - Medicare Dietitian in Spokane, WA