Rodolfo Bartolome Carrillo Sr, MD in Gainesville, GA - Medicare General Practice

Rodolfo Bartolome Carrillo Sr, MD is a medicare enrolled "General Practice" physician in Gainesville, Georgia. His current practice location is 420 Broad St Se, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 536-8885.

Rodolfo Bartolome Carrillo Sr is licensed to practice in Georgia (license number 033243) 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 1376633586.

Contact Information

	Rodolfo Bartolome Carrillo Sr, MD
	420 Broad St Se, Gainesville, GA 30501-3726
	(770) 536-8885
	(770) 536-8725

Physician's Profile

Full Name	Rodolfo Bartolome Carrillo Sr
Gender	Male
Speciality	General Practice
Location	420 Broad St Se, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376633586
Provider Enumeration Date: 10/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6608829106
Enrollment ID: I20050224000522

Medical Identifiers

Medical identifiers for Rodolfo Bartolome Carrillo Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376633586	NPI	-	NPPES
0TH000	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	033243 (Georgia)	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. Rodolfo Bartolome Carrillo Sr 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
Rodolfo Bartolome Carrillo Sr, MD 420 Broad St Se, Gainesville, GA 30501 Ph: (770) 536-8885	Rodolfo Bartolome Carrillo Sr, MD 420 Broad St Se, Gainesville, GA 30501-3726 Ph: (770) 536-8885

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General Practice Doctors in Gainesville, GA

Mr. Robert W Klassen, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 100 Spring St, Gainesville, GA 30501 Phone: 770-532-3700 Fax: 770-532-0059
Dr. Carlos Castilo Tan, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3 Washington Ave, Gainesville, GA 30501 Phone: 770-503-0221 Fax: 770-503-0023
Dr. Henry A Woods Jr., M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820
Miss Christine Oleg Sykalo, DO General Practice Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne Ste 710, Gainesville, GA 30501 Phone: 770-219-8730
Jason Burch, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 8855 Bethel Rd, Gainesville, GA 30506 Phone: 518-232-8993
Alexander Juston Santos, DO General Practice Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8730

Rodolfo Bartolome Carrillo Sr, MD - Medicare General Practice in Gainesville, GA