Camille D Mallory, LMHC in Fort Pierce, FL - Medicare Counselor Provider

Camille D Mallory, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fort Pierce, Florida. Her current practice location is 4500 W Midway Rd, Fort Pierce, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 468-5600.

Camille D Mallory is licensed to practice in Florida (license number MH23107) 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 1558139444.

Contact Information

	Camille D Mallory, LMHC
	4500 W Midway Rd, Fort Pierce, FL 34981-4823
	(772) 468-5600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Camille D Mallory
Gender	Female
Speciality	Counselor - Mental Health
Location	4500 W Midway Rd, Fort Pierce, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558139444
Provider Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1759732001
Enrollment ID: I20240110005119

Medical Identifiers

Medical identifiers for Camille D Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558139444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH23107 (Florida)	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. Camille D Mallory allows following entities to bill medicare on her behalf.

Entity Name	New Horizons Of The Treasure Coast Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154439958 PECOS PAC ID: 1153313218 Enrollment ID: O20040401000809

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. Camille D Mallory 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
Camille D Mallory, LMHC 2950 Se Ocean Blvd Apt 129-10, Stuart, FL 34996-3570 Ph: (772) 834-2021	Camille D Mallory, LMHC 4500 W Midway Rd, Fort Pierce, FL 34981-4823 Ph: (772) 468-5600

Reviews and Comments

Counselor in Fort Pierce, FL

Jean-mary Monval, Counselor Medicare: Medicare Enrolled Practice Location: 2011 S 25th St Ste 108, Fort Pierce, FL 34947 Phone: 772-242-1079 Fax: 772-242-1296
Zakiah Abdur-rashid, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 516-782-7878
Caroline Pace, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Orange Ave # M-205, Fort Pierce, FL 34950 Phone: 772-207-1095
Ms. Chiquita Lynn Wells, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982 Phone: 904-625-2307
Ms. Andrea Kivinski Blumstein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 772-489-4726
Sean Wesley Tattinger, RMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982 Phone: 772-489-4726 Fax: 772-466-5578
Stefanie Hallowell, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 Phone: 772-489-4726 Fax: 772-489-0423

Camille D Mallory, LMHC - Medicare Counselor in Fort Pierce, FL