Kelly Carrillo, CRNA is a medicare enrolled "Registered Nurse" physician in Tucson, Arizona. Her current practice location is
1625 N Campbell Ave, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 792-1450.
Kelly Carrillo is licensed to practice in Arizona (license number RN176261) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063806214.
Physician's Profile
Full Name | Kelly Carrillo |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1625 N Campbell Ave, Tucson, Arizona |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelly Carrillo attended and graduated from in
NPI Data:
- NPI Number: 1063806214
- Provider Enumeration Date: 03/26/2015
- Last Update Date: 03/17/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelly Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063806214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 261429 (Arizona) | Secondary |
163W00000X | Registered Nurse | RN176261 (Arizona) | Primary |
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. Kelly 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 |
Kelly Carrillo, CRNA 4237 E Kilmer St, Tucson, AZ 85711-2825 Ph: (520) 539-8905 | Kelly Carrillo, CRNA 1625 N Campbell Ave, Tucson, AZ 85719-4330 Ph: (520) 792-1450 |
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