Olegario Carrillo, PA-C
NPI 1417946039ActiveIndividual· Physician Assistant· Anchorage, AK
Physician Assistant (PA-C) with Southcentral Foundation, practicing in Anchorage, Alaska. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant.
Overview
| NPI | 1417946039 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 17, 2005 |
| Last updated in NPPES | Apr 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 870 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AK); Practitioner - Physician Assistant (TX) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southcentral FoundationWasilla, AK · 167 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Anchorage
- 1972977866
- 1972842433
- 1407306434
- 1083058408
- 1770201329
- 1508137217
- 1336453992
- 1487310769
- 1245615319
- 1285364455
- 1235478553
- 1194103689