Mrs Camelle Stacian Redding, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Pikesville, Maryland. Her current practice location is
1838 Greene Tree Rd Ste 300, Pikesville, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 653-0366.
Mrs Camelle Stacian Redding is licensed to practice in Maryland (license number R133694) 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 1326335829.
Physician's Profile
Full Name | Mrs Camelle Stacian Redding |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 1838 Greene Tree Rd Ste 300, Pikesville, Maryland |
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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: 1326335829
- Provider Enumeration Date: 07/05/2011
- Last Update Date: 02/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921278862
- Enrollment ID: I20110831000683
Medical Identifiers
Medical identifiers for Mrs Camelle Stacian Redding such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326335829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | R133694 (Maryland) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | R133694 (Maryland) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | R133694 (Maryland) | 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. Mrs Camelle Stacian Redding allows following entities to bill medicare on her behalf.
Entity Name | Lifebridge Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318 |
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Entity Name | Camelle Redding, Crnp,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174073910 PECOS PAC ID: 2961875414 Enrollment ID: O20230302002050 |
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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. Mrs Camelle Stacian Redding 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 |
Mrs Camelle Stacian Redding, CRNP 1838 Greene Tree Rd Ste 300, Pikesville, MD 21208-7109 Ph: (410) 653-0366 | Mrs Camelle Stacian Redding, CRNP 1838 Greene Tree Rd Ste 300, Pikesville, MD 21208-7109 Ph: (410) 653-0366 |
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