Mary Kristine Carbullido, MD in Madison, WI - Medicare Student in an Organized Health Care Education/Training Program

Mary Kristine Carbullido, MD - Medicare Student in an Organized Health Care Education/Training Program in Madison, WI

Mary Kristine Carbullido, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Madison, Wisconsin. Her current practice location is 749 University Row Ste 200, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 263-6400.

Mary Kristine Carbullido is licensed to practice in * (Not Available) (license number ) 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 1700466026.

Contact Information

	Mary Kristine Carbullido, MD
	749 University Row Ste 200, Madison, WI 53705-1465
	(608) 263-6400
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Kristine Carbullido
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	749 University Row Ste 200, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700466026
Provider Enumeration Date: 04/12/2021
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3274935473
Enrollment ID: I20210712000092

Medical Identifiers

Medical identifiers for Mary Kristine Carbullido such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700466026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	FC2728511 (Wisconsin)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Mary Kristine Carbullido 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
Mary Kristine Carbullido, MD 749 University Row Ste 200, Madison, WI 53705-1465 Ph: (608) 263-6400	Mary Kristine Carbullido, MD 749 University Row Ste 200, Madison, WI 53705-1465 Ph: (608) 263-6400