Mary Carrillo, - Medicare Nurse Anesthetist, Certified Registered in Florham Park, NJ

Mary Carrillo, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Florham Park, New Jersey. Her current practice location is 140 Park Ave, Florham Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 404-9700.

Mary Carrillo is licensed to practice in New Jersey (license number 26NJ00602400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356722268.

Contact Information

Mary Carrillo,
140 Park Ave,
Florham Park, NJ 07932-1049
(973) 404-9700
(973) 377-4709



Provider's Profile

Full NameMary Carrillo
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location140 Park Ave, Florham Park, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356722268
  • Provider Enumeration Date: 06/16/2015
  • Last Update Date: 01/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3476858994
  • Enrollment ID: I20160222001571

Medical Identifiers

Medical identifiers for Mary Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356722268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR12741800 (New Jersey)Secondary
367500000XNurse Anesthetist, Certified Registered 26NJ00602400 (New Jersey)Primary

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. Mary Carrillo allows following entities to bill medicare on her behalf.
Entity NameNew Jersey Healthcare Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174585780
PECOS PAC ID: 2668385253
Enrollment ID: O20031110000555

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Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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Link between pacemaker-detected atrial arrhythmias and stroke

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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. Mary 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
Mary Carrillo,
100 Route 59, Suite 105,
Suffern, NY 10901-4927

Ph: (845) 357-5775
Mary Carrillo,
140 Park Ave,
Florham Park, NJ 07932-1049

Ph: (973) 404-9700

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First-ever images of living human retinas have yielded a surprise about how we perceive our world.

Link between pacemaker-detected atrial arrhythmias and stroke

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› Verified 2 days ago


Nurse Anesthetist, Certified Registered Nurses in Florham Park, NJ

Dr. Michael Angelo Reniva, DNP APN/CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 140 Park Ave, Florham Park, NJ 07932
Phone: 973-404-9700    Fax: 973-377-4709
Meredith Christine Wing,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 140 Park Ave, Florham Park, NJ 07932
Phone: 973-404-9700    Fax: 973-377-4709
Maksim Ivanouski,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30b Vreeland Rd, Suite 200 Nj Anesthesia Associates, Llc, Florham Park, NJ 07932
Phone: 937-660-9334    
Chiara Paguirigan, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 140 Park Ave, Florham Park, NJ 07932
Phone: 973-404-9700    
Lindsey Allen,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30b Vreeland Rd Ste 200, Florham Park, NJ 07932
Phone: 973-462-2936    

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