Camille L Mundh, FNP-C is a medicare enrolled "Family Medicine" physician in Live Oak, California. Her current practice location is
9792 Live Oak Blvd Ste E, Live Oak, California. You can reach out to her office (for appointments etc.) via phone at
(530) 701-3131.
Camille L Mundh is licensed to practice in California (license number 95023281) 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 1083322168.
Physician's Profile
| Full Name | Camille L Mundh |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 9792 Live Oak Blvd Ste E, Live Oak, California |
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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: 1083322168
- Provider Enumeration Date: 11/08/2022
- Last Update Date: 11/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315318896
- Enrollment ID: I20230119002336
Medical Identifiers
Medical identifiers for Camille L Mundh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083322168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 95023281 (California) | 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 L Mundh allows following entities to bill medicare on her behalf.
| Entity Name | Mundh Np & Garretson Md Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013596683
PECOS PAC ID: 6406245323
Enrollment ID: O20211116000526 |
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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. Camille L Mundh 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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Camille L Mundh, FNP-C
3302 Arbor Way,
Live Oak, CA 95953-9435
Ph: (530) 617-2071 | Camille L Mundh, FNP-C
9792 Live Oak Blvd Ste E,
Live Oak, CA 95953-2381
Ph: (530) 701-3131 |
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