Camille Bulaclac, LCSW is a medicare enrolled "Social Worker - Clinical" provider in El Monte, California. Her current practice location is
3569 Lexington Ave, El Monte, California. You can reach out to her office (for appointments etc.) via phone at
(626) 453-3399.
Camille Bulaclac is licensed to practice in California (license number 121323) 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 1255975546.
Healthcare Provider's Profile
| Full Name | Camille Bulaclac |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3569 Lexington Ave, El Monte, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1255975546
- Provider Enumeration Date: 10/30/2019
- Last Update Date: 05/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204370133
- Enrollment ID: I20240702001607
Medical Identifiers
Medical identifiers for Camille Bulaclac such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255975546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 121323 (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. Camille Bulaclac allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
|---|
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. Camille Bulaclac 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 |
|---|
Camille Bulaclac, LCSW
165 N Michigan Ave Apt 315,
Pasadena, CA 91106-1849
Ph: (949) 378-0967 | Camille Bulaclac, LCSW
3569 Lexington Ave,
El Monte, CA 91731-2607
Ph: (626) 453-3399 |
Reviews and Comments