Miss Ethelin Camille Cammock, MD - Medicare Obstetrics & Gynecology in Jefferson, NC

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Miss Ethelin Camille Cammock, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Jefferson, North Carolina. Her current practice location is 200 Hospital Ave, Jefferson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 846-7101.

Miss Ethelin Camille Cammock is licensed to practice in North Carolina (license number 2023-02051) 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 1386208767.

Contact Information

Miss Ethelin Camille Cammock, MD
200 Hospital Ave,
Jefferson, NC 28640-9244
(336) 846-7101
Not Available

Map and Direction




Physician's Profile

Full NameMiss Ethelin Camille Cammock
GenderFemale
SpecialityObstetrics & Gynecology
Location200 Hospital Ave, Jefferson, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386208767
  • Provider Enumeration Date: 05/01/2019
  • Last Update Date: 06/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335473255
  • Enrollment ID: I20240109003944

Medical Identifiers

Medical identifiers for Miss Ethelin Camille Cammock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386208767NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 2023-02051 (North Carolina)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. Miss Ethelin Camille Cammock allows following entities to bill medicare on her behalf.
Entity NameClinch Valley Physicians Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104265214
PECOS PAC ID: 9133146111
Enrollment ID: O20130821001053

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. Miss Ethelin Camille Cammock 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 AddressPractice Location Address
Miss Ethelin Camille Cammock, MD
115 Nanzetta Way,
Lewisville, NC 27023-7102

Ph: (605) 660-4360		Miss Ethelin Camille Cammock, MD
200 Hospital Ave,
Jefferson, NC 28640-9244

Ph: (336) 846-7101

Reviews and Comments


Obstetrics & Gynecology Doctors in Jefferson, NC

Katherine A Averill, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 200 Hospital Ave, Jefferson, NC 28640
Phone: 336-846-7433    Fax: 336-846-7878
Dr. Michael Avery Kepley, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hospital Ave, Jefferson, NC 28640
Phone: 336-846-0821    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.