Victoria A Camba, DO is a medicare enrolled "Emergency Medicine" physician in Wilton Manors, Florida. Her current practice location is
2200 Ne 15th Ter, Wilton Manors, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 565-6739.
Victoria A Camba is licensed to practice in Kentucky (license number 05405) 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 1730178955.
Physician's Profile
| Full Name | Victoria A Camba |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 2200 Ne 15th Ter, Wilton Manors, Florida |
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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: 1730178955
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 05/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537158100
- Enrollment ID: I20040510000100
Medical Identifiers
Medical identifiers for Victoria A Camba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730178955 | NPI | - | NPPES |
| P00451233 | Other | | RR MCR |
| 15350 | Other | FL | BCBS |
| 264081300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | OS8584 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 05405 (Kentucky) | 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. Victoria A Camba allows following entities to bill medicare on her behalf.
| Entity Name | Paragon Contracting Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20041207001148 |
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| Entity Name | Paragon Emergency Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912101650
PECOS PAC ID: 8628153087
Enrollment ID: O20080310000143 |
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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. Victoria A Camba 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 |
|---|
Victoria A Camba, DO
2200 Ne 15th Ter,
Wilton Manors, FL 33305-2315
Ph: (954) 565-6739 | Victoria A Camba, DO
2200 Ne 15th Ter,
Wilton Manors, FL 33305-2315
Ph: (954) 565-6739 |
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