Dr Mario Carrillo, DO | |
1676 Sunset Ave, 4th Floor, Utica, NY 13502 | |
(315) 624-4690 | |
(315) 624-4840 |
Full Name | Dr Mario Carrillo |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 30 Years |
Location | 1676 Sunset Ave, Utica, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053491936 | NPI | - | NPPES |
01976636 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 213540 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Faxton-st Luke's Healthcare | Utica, NY | Hospital |
Rome Memorial Hospital, Inc | Rome, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mvhs Inc | 2769380252 | 296 |
Entity Name | Mvhs Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
Entity Name | Surgical Associates Of Utica, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972690196 PECOS PAC ID: 0143301234 Enrollment ID: O20080115000321 |
Mailing Address | Practice Location Address |
---|---|
Dr Mario Carrillo, DO 2209 Genesee Street, Business Office, Utica, NY 13501-5930 Ph: (315) 801-3282 | Dr Mario Carrillo, DO 1676 Sunset Ave, 4th Floor, Utica, NY 13502 Ph: (315) 624-4690 |
Dr. John F Sperling, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, P.o.b., Suite 335, Utica, NY 13502 Phone: 315-624-4090 Fax: 315-624-4095 | |
Dr. Christopher C Max, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1676 Sunset Ave, Faxton 4th Floor, Utica, NY 13502 Phone: 315-624-8110 Fax: 315-624-8115 | |
Dr. Jorge Ferreiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-4090 Fax: 315-624-4095 | |
Geoffrey Simon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, Suite 203, Utica, NY 13502 Phone: 315-738-0647 Fax: 315-738-9719 | |
Robert Wasiczko, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-4090 Fax: 315-624-4095 | |
Mr. Dennis Blom, MD Surgery Medicare: Medicare Enrolled Practice Location: 2202 Genesee St, Utica, NY 13502 Phone: 315-732-0349 Fax: 315-732-0309 |