Dr Pearl Carrillo, DO | |
2305 S Highway 65 Bldg A, Marshall, MO 65340-3702 | |
(660) 886-7800 | |
(660) 831-3306 |
Full Name | Dr Pearl Carrillo |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 26 Years |
Location | 2305 S Highway 65 Bldg A, Marshall, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487602991 | NPI | - | NPPES |
205472509 | Medicaid | MO | |
38337016 | Other | MO | BLUE CROSS BLUE SHIELD OF KC |
795915 | Other | MO | HEALTHLINK PIN |
H43884 | Other | MO | MERCY HEALTH PLANS PIN |
7713239 | Other | MO | AETNA PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 2007001548 (Missouri) | Secondary |
207Q00000X | Family Medicine | 2007001548 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fitzgibbon Mary Montgomery Hospice | Marshall, MO | Hospice |
Fitzgibbon Memorial Hospital | Marshall, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
John Fitzgibbon Memorial Hospital Inc | 2567351570 | 89 |
Entity Name | John Fitzgibbon Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730182478 PECOS PAC ID: 2567351570 Enrollment ID: O20040315000980 |
Mailing Address | Practice Location Address |
---|---|
Dr Pearl Carrillo, DO 2305 South 65 Highway, P O Box 158, Marshall, MO 65340-3702 Ph: (660) 886-7431 | Dr Pearl Carrillo, DO 2305 S Highway 65 Bldg A, Marshall, MO 65340-3702 Ph: (660) 886-7800 |
Richard Raynor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2105 E Watermill Rd, Marshall, MO 65340 Phone: 660-886-6730 | |
Mica K Newman-koehn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2303 S Highway 65, Marshall, MO 65340 Phone: 660-886-3364 Fax: 660-886-6044 | |
Dr. Kurt Schroer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2305 S Highway 65 Bldg A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3328 | |
Dr. Justin Robert Cramer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Atchison Ave, Marshall, MO 65340 Phone: 660-886-8584 Fax: 888-979-8868 | |
Dr. Jared Karl Romney, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2305 S Highway 65, Marshall, MO 65340 Phone: 660-886-7431 Fax: 660-831-3325 | |
Dr. Sonal Patel Brizendine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2305 South 65 Highway, Building A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3328 | |
Dr. Jamie G Ulbrich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2303 S Highway 65, Marshall, MO 65340 Phone: 660-886-3364 Fax: 660-886-6044 |