| Stacie Carrillo, PAC | |
|
100 Eisenhower Dr, Hanover, PA 17331-5241 | |
| (717) 646-4201 | |
| (717) 646-4202 |
| Full Name | Stacie Carrillo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 100 Eisenhower Dr, Hanover, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730731068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA060995 (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA060995 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Hospital - Anderson Campus | Easton, PA | Hospital |
| St Lukes Quakertown Hospital | Quakertown, PA | Hospital |
| St Luke's Hospital - Monroe Campus | Stroudsburg, PA | Hospital |
| St Luke's Warren Hospital | Phillipsburg, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspan Medical Group | 1951213115 | 1966 |
| St Luke's Physician Group Inc | 6709798333 | 1727 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie Carrillo, PAC 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Stacie Carrillo, PAC 100 Eisenhower Dr, Hanover, PA 17331-5241 Ph: (717) 646-4201 |
Mr. Michael Gerard Depalma, P.A.C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2201 Brunswick Dr Ste 1200, Hanover, PA 17331 Phone: 717-637-0470 | |
Mrs. Anita E Ashton, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20 North St, Hanover, PA 17331 Phone: 717-637-7755 Fax: 717-637-7142 | |
Janice A Haller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2201 Brunswick Dr Ste 1200, Hanover, PA 17331 Phone: 717-637-0470 Fax: 717-637-4987 | |
Ms. Kim M Shue, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 507 E Middle St, Hanover, PA 17331 Phone: 717-634-5211 Fax: 717-646-7421 | |
Allison Johns, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2201 Brunswick Dr Ste 1200, Hanover, PA 17331 Phone: 717-637-0470 Fax: 717-637-4987 | |
Courtney Lynn O'sullivan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 310 Stock St, Hanover, PA 17331 Phone: 717-637-1738 | |
Alex Alan Despines, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 Blooming Grove Rd, Hanover, PA 17331 Phone: 717-812-7559 Fax: 717-632-2422 |