Ms Camille Marie Licata, NP - Medicare Nurse Practitioner in Verona, NJ

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Ms Camille Marie Licata, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Verona, New Jersey. Her current practice location is 825 Bloomfield Ave, Ste Ll-1, Verona, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 233-4493.

Ms Camille Marie Licata is licensed to practice in New Jersey (license number 26NJ00765000) 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 1477980415.

Contact Information

Ms Camille Marie Licata, NP
825 Bloomfield Ave, Ste Ll-1,
Verona, NJ 07044-1366
(973) 233-4493
(973) 233-4505

Map and Direction




Provider's Profile

Full NameMs Camille Marie Licata
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location825 Bloomfield Ave, Verona, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477980415
  • Provider Enumeration Date: 10/06/2013
  • Last Update Date: 08/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9234431370
  • Enrollment ID: I20180604000180

Medical Identifiers

Medical identifiers for Ms Camille Marie Licata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477980415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 26NJ00765000 (New Jersey)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. Ms Camille Marie Licata allows following entities to bill medicare on her behalf.
Entity NameNbimc Department Of Heart
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497712632
PECOS PAC ID: 9032176516
Enrollment ID: O20041216000172
Entity NameTapestry Telehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992215446
PECOS PAC ID: 4789942335
Enrollment ID: O20180314000320
Entity NameConsensus Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811466881
PECOS PAC ID: 2961748181
Enrollment ID: O20190109001851

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. Ms Camille Marie Licata 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
Ms Camille Marie Licata, NP
700 Rte 46 E, Ste 450,
Fairfield, NJ 07004

Ph: (973) 559-3700		Ms Camille Marie Licata, NP
825 Bloomfield Ave, Ste Ll-1,
Verona, NJ 07044-1366

Ph: (973) 233-4493

Reviews and Comments


Nurse Practitioner Nurses in Verona, NJ

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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.