Camille Marie Kielbasa, APRN, AGCNS-BC - Medicare Nurse Practitioner in Georgetown, TX

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Camille Marie Kielbasa, APRN, AGCNS-BC is a medicare enrolled "Clinical Nurse Specialist - Gerontology" in Georgetown, Texas. She graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jason Martin Medical Consulting Llc and her current practice location is 4945 Williams Dr, Georgetown, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 819-0500.

Camille Marie Kielbasa is licensed to practice in Texas (license number 1003698) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609501774.

Contact Information

Camille Marie Kielbasa, APRN, AGCNS-BC
4945 Williams Dr,
Georgetown, TX 78633-2008
(512) 819-0500
Not Available

Map and Direction




Provider's Profile

Full NameCamille Marie Kielbasa
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location4945 Williams Dr, Georgetown, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Camille Marie Kielbasa graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1609501774
  • Provider Enumeration Date: 07/21/2022
  • Last Update Date: 10/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668855339
  • Enrollment ID: I20220812000399

Medical Identifiers

Medical identifiers for Camille Marie Kielbasa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609501774NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364S00000XClinical Nurse Specialist 1003698 (Texas)Secondary
364SG0600XClinical Nurse Specialist - Gerontology 1003698 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jason Martin Medical Consulting Llc832528981245

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 Marie Kielbasa allows following entities to bill medicare on her behalf.
Entity NameJason Martin Medical Consulting Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851736243
PECOS PAC ID: 8325289812
Enrollment ID: O20130725000633
Entity NamePai Participant 9 Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679135420
PECOS PAC ID: 7113254277
Enrollment ID: O20190812003650

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 Marie Kielbasa 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
Camille Marie Kielbasa, APRN, AGCNS-BC
Po Box 844658,
Dallas, TX 75284-4658

Ph: (800) 994-0371		Camille Marie Kielbasa, APRN, AGCNS-BC
4945 Williams Dr,
Georgetown, TX 78633-2008

Ph: (512) 819-0500

Reviews and Comments


Clinical Nurse Specialist Nurses in Georgetown, TX

Shonda Leigh Steward, APRN-CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 209 Granite Dr, Georgetown, TX 78626
Phone: 806-290-6601    
Mrs. Dan Feng, APRN
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 501 S Austin Ave, Georgetown, TX 78626
Phone: 512-868-9078    

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.