Mrs Camellia Douglas, PMHNP in Charlotte, NC - Medicare Nurse Practitioner

Mrs Camellia Douglas, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Charlotte, North Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mindpath Care Centers North Carolina Pllc and her current practice location is 525 N Tryon St Ste 1600, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (877) 306-1683.

Mrs Camellia Douglas is licensed to practice in North Carolina (license number 5009819) 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 1114445905.

Contact Information

	Mrs Camellia Douglas, PMHNP
	525 N Tryon St Ste 1600, Charlotte, NC 28202-0213
	(877) 306-1683
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Camellia Douglas
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	525 N Tryon St Ste 1600, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Camellia Douglas graduated from nursing school in 2017

NPI Data:

NPI Number: 1114445905
Provider Enumeration Date: 09/01/2017
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 0547535767
Enrollment ID: I20171013000628

Medical Identifiers

Medical identifiers for Mrs Camellia Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114445905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5009819 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5009819 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mindpath Care Centers North Carolina Pllc	4688655517	75

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 Camellia Douglas allows following entities to bill medicare on her behalf.

Entity Name	Mindpath Care Centers North Carolina Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508803214 PECOS PAC ID: 4688655517 Enrollment ID: O20040526001582

Entity Name	Thriveworks Clinical - North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669

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 Camellia Douglas 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 Camellia Douglas, PMHNP 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 Ph: (877) 306-1683	Mrs Camellia Douglas, PMHNP 525 N Tryon St Ste 1600, Charlotte, NC 28202-0213 Ph: (877) 306-1683

Reviews and Comments

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Mrs Camellia Douglas, PMHNP - Medicare Nurse Practitioner in Charlotte, NC