Mary A Camper, DD, PHD, LCSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in South Holland, Illinois. Her current practice location is
401 E 162nd St Ste 103, South Holland, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 418-6577.
Mary A Camper is licensed to practice in * (Not Available) (license number 149.026415) 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 1417420696.
Healthcare Provider's Profile
Full Name | Mary A Camper |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 401 E 162nd St Ste 103, South Holland, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417420696
- Provider Enumeration Date: 01/09/2019
- Last Update Date: 05/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133524630
- Enrollment ID: I20210821000376
Medical Identifiers
Medical identifiers for Mary A Camper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417420696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 32188 (Illinois) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
172A00000X | Driver | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 149.026415 (* (Not Available)) | 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 A Camper allows following entities to bill medicare on her behalf.
Entity Name | Reestablishing Hope Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528531639 PECOS PAC ID: 8224433727 Enrollment ID: O20210821000363 |
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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 A Camper 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 |
Mary A Camper, DD, PHD, LCSW, CADC 17577 Kedzie Ave Ste 301, Hazel Crest, IL 60429-2051 Ph: (815) 418-6577 | Mary A Camper, DD, PHD, LCSW, CADC 401 E 162nd St Ste 103, South Holland, IL 60473-2237 Ph: (815) 418-6577 |
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