Mrs Mary Grayle Jalalain Camacho, PT is a medicare enrolled "Physical Therapist" provider in Irvine,, California. Her current practice location is
22 Odyssey, #165, Irvine,, California. You can reach out to her office (for appointments etc.) via phone at
(949) 727-2192.
Mrs Mary Grayle Jalalain Camacho is licensed to practice in California (license number 37616) 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 1952555823.
Healthcare Provider's Profile
Full Name | Mrs Mary Grayle Jalalain Camacho |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 22 Odyssey, Irvine,, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952555823
- Provider Enumeration Date: 11/05/2008
- Last Update Date: 01/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 4688836729
- Enrollment ID: I20120507000325
Medical Identifiers
Medical identifiers for Mrs Mary Grayle Jalalain Camacho such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952555823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070016394 (Illinois) | Secondary |
225100000X | Physical Therapist | 37616 (California) | 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 Mary Grayle Jalalain Camacho allows following entities to bill medicare on her behalf.
Provider Name | Advance Occupational & Hand Therapy Center |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1093746752 PECOS PAC ID: 0143251579 Enrollment ID: O20050830001031 |
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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. Mrs Mary Grayle Jalalain Camacho 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 Mary Grayle Jalalain Camacho, PT 28022 Marguerite Pkwy, Apt. C, Mission Viejo, CA 92692-3611 Ph: (714) 423-1315 | Mrs Mary Grayle Jalalain Camacho, PT 22 Odyssey, #165, Irvine,, CA 92618 Ph: (949) 727-2192 |
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