Mr Carmelito Miralles Caronongan, MD is a
Pediatrics physician based in Herrin, Illinois. Mr Carmelito Miralles Caronongan is licensed to practice in Illinois (license number 036.060412) and his current practice location is 120 S. 11th St., Herrin, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 988-8154.
NPI number for Mr Carmelito Miralles Caronongan is 1215307590 and his current mailing address is 120 S. 11th St., Herrin, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215307590.
Physician's Profile
Full Name | Mr Carmelito Miralles Caronongan |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 120 S. 11th St., Herrin, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215307590
- Provider Enumeration Date: 09/30/2015
- Last Update Date: 09/30/2015
Medical Identifiers
Medical identifiers for Mr Carmelito Miralles Caronongan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215307590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036.060412 (Illinois) | 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. Mr Carmelito Miralles Caronongan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Carmelito Miralles Caronongan, MD 120 S. 11th St., Herrin, IL 62948 Ph: (618) 988-8154 | Mr Carmelito Miralles Caronongan, MD 120 S. 11th St., Herrin, IL 62948 Ph: (618) 988-8154 |
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