Mr Rene Enrique Camacho- Cordoba, is a medicare enrolled "Social Worker - Clinical" provider in Davie, Florida. He graduated from healthcare school in 2007 and has 19 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Balanced Wellbeing Llc, A And B Counseling Services Llc and his current practice location is
3440 S University Dr, Davie, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 424-6911.
Mr Rene Enrique Camacho- Cordoba is licensed to practice in Florida (license number MH16257) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962740027.
Healthcare Provider's Profile
| Full Name | Mr Rene Enrique Camacho- Cordoba |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 19 Years |
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| Location | 3440 S University Dr, Davie, Florida |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Rene Enrique Camacho- Cordoba graduated from medical school in 2007
NPI Data:
- NPI Number: 1962740027
- Provider Enumeration Date: 01/24/2013
- Last Update Date: 10/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 6901324896
- Enrollment ID: I20250514002941
Medical Identifiers
Medical identifiers for Mr Rene Enrique Camacho- Cordoba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962740027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16892 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH16257 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | 004022 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | MH16257 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Balanced Wellbeing Llc | 5193021848 | 177 |
| A And B Counseling Services Llc | 6103152269 | 61 |
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. Mr Rene Enrique Camacho- Cordoba allows following entities to bill medicare on his behalf.
| Entity Name | Balanced Wellbeing Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587 |
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| Entity Name | A & B Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508327628
PECOS PAC ID: 6103152269
Enrollment ID: O20190726001094 |
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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. Mr Rene Enrique Camacho- Cordoba 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 |
|---|
Mr Rene Enrique Camacho- Cordoba,
4740 N State Road 7,
Lauderdale Lakes, FL 33319-5839
Ph: (954) 486-4005 | Mr Rene Enrique Camacho- Cordoba,
3440 S University Dr,
Davie, FL 33328-2000
Ph: (954) 424-6911 |
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