Camryn Conrad-renteria, LCPC is a medicare enrolled "Counselor - Professional" provider in Vale, Oregon. Her current practice location is
789 Washington St W, Vale, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 473-2101.
Camryn Conrad-renteria is licensed to practice in Oregon (license number C3940) 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 1801174875.
Healthcare Provider's Profile
| Full Name | Camryn Conrad-renteria |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 789 Washington St W, Vale, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801174875
- Provider Enumeration Date: 07/25/2011
- Last Update Date: 01/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587017496
- Enrollment ID: I20240501003997
Medical Identifiers
Medical identifiers for Camryn Conrad-renteria such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801174875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | LCPC-5843 (Idaho) | Secondary |
| 101YP2500X | Counselor - Professional | C3940 (Oregon) | 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. Camryn Conrad-renteria allows following entities to bill medicare on her behalf.
| Entity Name | Valley Family Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407886484
PECOS PAC ID: 0547169591
Enrollment ID: O20040108000205 |
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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. Camryn Conrad-renteria 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 |
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Camryn Conrad-renteria, LCPC
1441 Ne 10th Ave,
Payette, ID 83661-5420
Ph: (208) 642-9376 | Camryn Conrad-renteria, LCPC
789 Washington St W,
Vale, OR 97918-1147
Ph: (541) 473-2101 |
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