Katie Janette Carillon, PAC is a medicare enrolled "Physician Assistant - Medical" in Maumelle, Arkansas. Her current practice location is
1701 Club Manor Dr Ste 2b, Maumelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 843-4555.
Katie Janette Carillon is licensed to practice in Arkansas (license number PA468) 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 1649538679.
Provider's Profile
| Full Name | Katie Janette Carillon |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1701 Club Manor Dr Ste 2b, Maumelle, Arkansas |
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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. |
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Medical Education and Training:
- Katie Janette Carillon attended and graduated from in
NPI Data:
- NPI Number: 1649538679
- Provider Enumeration Date: 04/27/2012
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Katie Janette Carillon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649538679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA468 (Arkansas) | 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. Katie Janette Carillon 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 |
|---|
Katie Janette Carillon, PAC
11001 Executive Center Dr Ste 200,
Little Rock, AR 72211-4393
Ph: (501) 851-7402 | Katie Janette Carillon, PAC
1701 Club Manor Dr Ste 2b,
Maumelle, AR 72113-7401
Ph: (501) 843-4555 |
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