Dr Martha Carrillo, PHD, F NP-C - Medicare Nurse Practitioner in Phoenix, AZ

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Dr Martha Carrillo, PHD, F NP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifewell Behavioral Wellness and her current practice location is 2326 W Kachina Trl, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 930-2330.

Dr Martha Carrillo is licensed to practice in Arizona (license number AP8960) 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 1689121931.

Contact Information

Dr Martha Carrillo, PHD, F NP-C
2326 W Kachina Trl,
Phoenix, AZ 85041-9550
(602) 930-2330
(602) 687-9954

Map and Direction




Provider's Profile

Full NameDr Martha Carrillo
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location2326 W Kachina Trl, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Martha Carrillo graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1689121931
  • Provider Enumeration Date: 09/03/2016
  • Last Update Date: 02/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2466707971
  • Enrollment ID: I20180622002618

Medical Identifiers

Medical identifiers for Dr Martha Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689121931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family TAP8960 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP8960 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifewell Behavioral Wellness498164181826

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Martha Carrillo allows following entities to bill medicare on her behalf.
Entity NameLifewell Behavioral Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417050337
PECOS PAC ID: 4981641818
Enrollment ID: O20050412001535
Entity NameAlliance Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891888517
PECOS PAC ID: 8022111749
Enrollment ID: O20070316000208
Entity NameSouthwest Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104856004
PECOS PAC ID: 2567560659
Enrollment ID: O20070613000698
Entity NameBanner Urgent Care Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316349855
PECOS PAC ID: 3678749496
Enrollment ID: O20111228000784
Entity NameFoundations For Change Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467729640
PECOS PAC ID: 8921269291
Enrollment ID: O20120412000625

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. Dr Martha 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 AddressPractice Location Address
Dr Martha Carrillo, PHD, F NP-C
2326 W Kachina Trl,
Phoenix, AZ 85041-9550

Ph: (602) 930-2330		Dr Martha Carrillo, PHD, F NP-C
2326 W Kachina Trl,
Phoenix, AZ 85041-9550

Ph: (602) 930-2330

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.