Mrs Camille Antoinette Lindo-wilson, MSN FNP - Medicare Nurse Practitioner in Ellenwood, GA

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Mrs Camille Antoinette Lindo-wilson, MSN FNP is a medicare enrolled "Nurse Practitioner - Family" in Ellenwood, Georgia. Her current practice location is 4475 W Village Pkwy, Ellenwood, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 507-7950.

Mrs Camille Antoinette Lindo-wilson is licensed to practice in Georgia (license number RN220192) 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 1902402118.

Contact Information

Mrs Camille Antoinette Lindo-wilson, MSN FNP
4475 W Village Pkwy,
Ellenwood, GA 30294-2869
(770) 507-7950
(716) 710-8082

Map and Direction




Provider's Profile

Full NameMrs Camille Antoinette Lindo-wilson
GenderFemale
SpecialityNurse Practitioner - Family
Location4475 W Village Pkwy, Ellenwood, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902402118
  • Provider Enumeration Date: 12/11/2020
  • Last Update Date: 10/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204245434
  • Enrollment ID: I20210429000961

Medical Identifiers

Medical identifiers for Mrs Camille Antoinette Lindo-wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902402118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 220192 (Florida)Secondary
363LF0000XNurse Practitioner - Family RN220192 (Georgia)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. Mrs Camille Antoinette Lindo-wilson allows following entities to bill medicare on her behalf.
Entity NameWcs Professional Services Of Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659782415
PECOS PAC ID: 3678792579
Enrollment ID: O20140908001617
Entity NameRestorixhealth At-home Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255974689
PECOS PAC ID: 8123455011
Enrollment ID: O20200511001217
Entity NameChma Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912581653
PECOS PAC ID: 8123420643
Enrollment ID: O20210707000812

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 Camille Antoinette Lindo-wilson 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
Mrs Camille Antoinette Lindo-wilson, MSN FNP
101 Donovan Ave,
Locust Grove, GA 30248-2823

Ph: (404) 916-2162		Mrs Camille Antoinette Lindo-wilson, MSN FNP
4475 W Village Pkwy,
Ellenwood, GA 30294-2869

Ph: (770) 507-7950

Reviews and Comments


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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.