Mrs Camille Lee Williams, ACNPC-AG in Temple Terrace, FL

Mrs Camille Lee Williams, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Temple Terrace, Florida. Her current practice location is 13067 N Telecom Pkwy, Temple Terrace, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 779-6303.

Mrs Camille Lee Williams is licensed to practice in Florida (license number APRN11018352) 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 1639825300.

Contact Information

	Mrs Camille Lee Williams, ACNPC-AG
	13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926
	(813) 779-6303
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Camille Lee Williams
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	13067 N Telecom Pkwy, Temple Terrace, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639825300
Provider Enumeration Date: 02/22/2022
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6709252893
Enrollment ID: I20221013003651

Medical Identifiers

Medical identifiers for Mrs Camille Lee Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639825300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APRN11018352 (Florida)	Primary
163W00000X	Registered Nurse	RN9432744 (Florida)	Secondary

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 Lee Williams allows following entities to bill medicare on her behalf.

Entity Name	Florida Hospital Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600

Entity Name	Pioneer Medical Group Pl
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710315775 PECOS PAC ID: 8224266655 Enrollment ID: O20140110000843

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 Lee Williams 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 Camille Lee Williams, ACNPC-AG 7290 17th St N, St Petersburg, FL 33702-4902 Ph: (850) 228-4248	Mrs Camille Lee Williams, ACNPC-AG 13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926 Ph: (813) 779-6303

Reviews and Comments

Nurse Practitioner Nurses in Temple Terrace, FL

Ofelia Maria Chou, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637 Phone: 813-871-8183 Fax: 813-871-8184
Viviane L Goncalves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 303-261-7664
Ms. Tracy L Czop, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 888-977-1998
Ashley Nichole Christie, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 Fax: 843-790-1953
Shawna Lord, MS, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030
Mischa Nicole Tice, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 228-363-4729
Amanda Parker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5205 E Fletcher Ave, Temple Terrace, FL 33617 Phone: 813-987-2911 Fax: 813-987-2853

Mrs Camille Lee Williams, ACNPC-AG - Medicare Nurse Practitioner in Temple Terrace, FL