Luis M Camacho Jr, PT is a medicare enrolled "Physician Assistant" provider in Fort Lauderdale, Florida. His current practice location is
2250 Ne 53rd St, Fort Lauderdale, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 597-2681.
Luis M Camacho Jr is licensed to practice in Florida (license number 9109155) 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 1386949204.
Healthcare Provider's Profile
| Full Name | Luis M Camacho Jr |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 2250 Ne 53rd St, Fort Lauderdale, Florida |
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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: 1386949204
- Provider Enumeration Date: 01/25/2011
- Last Update Date: 10/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 6709048382
- Enrollment ID: I20120426000373
Medical Identifiers
Medical identifiers for Luis M Camacho Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386949204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT 26044 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 9109155 (Florida) | 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. Luis M Camacho Jr allows following entities to bill medicare on his behalf.
| Provider Name | Rehabclinics Pta Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003274168
PECOS PAC ID: 0547237497
Enrollment ID: O20160411001343 |
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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. Luis M Camacho Jr 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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Luis M Camacho Jr, PT
2250 Ne 53rd St,
Fort Lauderdale, FL 33308-3163
Ph: () - | Luis M Camacho Jr, PT
2250 Ne 53rd St,
Fort Lauderdale, FL 33308-3163
Ph: (786) 597-2681 |
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