Mary Lucille Cameron, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Kilauea, Hawaii. Her current practice location is
2460 Oka St, Kilauea, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 828-2885.
Mary Lucille Cameron is licensed to practice in Hawaii (license number APRN1040) 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 1184623605.
Provider's Profile
| Full Name | Mary Lucille Cameron |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2460 Oka St, Kilauea, Hawaii |
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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: 1184623605
- Provider Enumeration Date: 07/18/2005
- Last Update Date: 02/23/2011
Medicare PECOS Information:
- PECOS PAC ID: 5799740619
- Enrollment ID: I20120723000649
Medical Identifiers
Medical identifiers for Mary Lucille Cameron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184623605 | NPI | - | NPPES |
| 864943 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN032228 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN1040 (Hawaii) | 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. Mary Lucille Cameron allows following entities to bill medicare on her behalf.
| Entity Name | Kauai Community Health Alliance |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659531622
PECOS PAC ID: 7012070774
Enrollment ID: O20090107000415 |
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| Entity Name | Makana North Shore Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114431632
PECOS PAC ID: 8426308883
Enrollment ID: O20180905001897 |
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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. Mary Lucille Cameron 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 |
|---|
Mary Lucille Cameron, CFNP
2460 Oka St,
Kilauea, HI 96754-5308
Ph: (808) 828-2885 | Mary Lucille Cameron, CFNP
2460 Oka St,
Kilauea, HI 96754-5308
Ph: (808) 828-2885 |
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