Lance William Camacho, PA-C is a medicare enrolled "Physician Assistant - Medical" in United States Air Force Acad, Colorado. His current practice location is
4102 Pinion Dr, United States Air Force Acad, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 333-6054.
Lance William Camacho is licensed to practice in Texas (license number PA08575) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497084198.
Provider's Profile
Full Name | Lance William Camacho |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 4102 Pinion Dr, United States Air Force Acad, Colorado |
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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: 1497084198
- Provider Enumeration Date: 12/09/2009
- Last Update Date: 08/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577876895
- Enrollment ID: I20211014001681
Medical Identifiers
Medical identifiers for Lance William Camacho such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497084198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA9109563 (Florida) | Secondary |
363AM0700X | Physician Assistant - Medical | PA08575 (Texas) | Primary |
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. Lance William Camacho 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 |
Lance William Camacho, PA-C 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: (719) 333-6054 | Lance William Camacho, PA-C 4102 Pinion Dr, United States Air Force Acad, CO 80840-2502 Ph: (719) 333-6054 |
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