Camille Hana Nawawi, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in San Diego, California. She graduated from healthcare school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centro De Salud De La Comunidad De San Ysidro, Inc and her current practice location is
200 W Arbor Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(800) 926-8273.
Camille Hana Nawawi is licensed to practice in California (license number 95030849) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699265975.
Healthcare Provider's Profile
| Full Name | Camille Hana Nawawi |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 200 W Arbor Dr, San Diego, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Camille Hana Nawawi graduated from medical school in 2024
NPI Data:
- NPI Number: 1699265975
- Provider Enumeration Date: 05/13/2018
- Last Update Date: 09/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759815160
- Enrollment ID: I20241107002374
Medical Identifiers
Medical identifiers for Camille Hana Nawawi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699265975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95030849 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centro De Salud De La Comunidad De San Ysidro, Inc | 6901709435 | 254 |
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 Hana Nawawi allows following entities to bill medicare on her behalf.
| Entity Name | Regents Of The University Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508968967
PECOS PAC ID: 3577476761
Enrollment ID: O20031203000756 |
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| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711 |
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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. Camille Hana Nawawi 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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Camille Hana Nawawi, NP
File 57326,
Los Angeles, CA 90074-0001
Ph: () - | Camille Hana Nawawi, NP
200 W Arbor Dr,
San Diego, CA 92103-9000
Ph: (800) 926-8273 |
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