Jimmy Rafael Carrillo, PA-C is a medicare enrolled "Physician Assistant - Medical" in Bonifay, Florida. His current practice location is
3269 Highway 90, Bonifay, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 547-9991.
Jimmy Rafael Carrillo is licensed to practice in Florida (license number PA9106175) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285910778.
Provider's Profile
| Full Name | Jimmy Rafael Carrillo |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 3269 Highway 90, Bonifay, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1285910778
- Provider Enumeration Date: 10/27/2011
- Last Update Date: 10/27/2011
Medicare PECOS Information:
- PECOS PAC ID: 7416114640
- Enrollment ID: I20120131000392
Medical Identifiers
Medical identifiers for Jimmy Rafael Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285910778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA9106175 (Florida) | 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. Jimmy Rafael 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 |
|---|
Jimmy Rafael Carrillo, PA-C
3269 Highway 90,
Bonifay, FL 32425-6001
Ph: (850) 547-9991 | Jimmy Rafael Carrillo, PA-C
3269 Highway 90,
Bonifay, FL 32425-6001
Ph: (850) 547-9991 |
Reviews and Comments