Jose Camacho, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in West Covina, California. His current practice location is
409 E Merced Ave Ste A, West Covina, California. You can reach out to his office (for appointments etc.) via phone at
(858) 699-7726.
Jose Camacho is licensed to practice in California (license number C43174) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255548327.
Physician's Profile
| Full Name | Jose Camacho |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 409 E Merced Ave Ste A, West Covina, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255548327
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 05/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 2860482668
- Enrollment ID: I20040513001541
Medical Identifiers
Medical identifiers for Jose Camacho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255548327 | NPI | - | NPPES |
| 00C431740 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | C43174 (California) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | C43174 (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. Jose Camacho allows following entities to bill medicare on his behalf.
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265530653
PECOS PAC ID: 0143126920
Enrollment ID: O20031211000522 |
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| Entity Name | Faculty Physicians And Surgeons Of Llusm |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981 |
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| Entity Name | Faculty Physicians And Surgeons Of Llusm |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508255175
PECOS PAC ID: 1153227814
Enrollment ID: O20160216002196 |
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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. Jose 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 |
|---|
Jose Camacho, MD
Po Box 495,
Del Mar, CA 92014-0495
Ph: (858) 837-2990 | Jose Camacho, MD
409 E Merced Ave Ste A,
West Covina, CA 91790-5061
Ph: (858) 699-7726 |
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