Cameron Ray Collum, is a medicare enrolled "Physical Therapist" provider in Richwood, Ohio. His current practice location is
13975 Graham Jones Rd, Richwood, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 243-9073.
Cameron Ray Collum is licensed to practice in Ohio (license number PT016463) 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 1215650924.
Healthcare Provider's Profile
| Full Name | Cameron Ray Collum |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 13975 Graham Jones Rd, Richwood, Ohio |
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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: 1215650924
- Provider Enumeration Date: 09/19/2022
- Last Update Date: 09/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143697714
- Enrollment ID: I20221110002895
Medical Identifiers
Medical identifiers for Cameron Ray Collum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215650924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT016463 (Ohio) | 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. Cameron Ray Collum allows following entities to bill medicare on his behalf.
| Provider Name | Outpatient At Home Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1629671003
PECOS PAC ID: 6204248784
Enrollment ID: O20201208001710 |
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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. Cameron Ray Collum 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 |
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Cameron Ray Collum,
13975 Graham Jones Rd,
Richwood, OH 43344-9202
Ph: () - | Cameron Ray Collum,
13975 Graham Jones Rd,
Richwood, OH 43344-9202
Ph: (937) 243-9073 |
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