Mrs Camelle Stacian Redding, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Owings Mills, Maryland. She graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifebridge Community Physicians Inc and her current practice location is
23 Crossroads Dr Ste 340, Owings Mills, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 653-0366.
Mrs Camelle Stacian Redding is licensed to practice in Maryland (license number R133694) 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 1326335829.
Physician's Profile
| Full Name | Mrs Camelle Stacian Redding |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 23 Crossroads Dr Ste 340, Owings Mills, Maryland |
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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. |
Medical Education and Training:
- Mrs Camelle Stacian Redding graduated from medical school in 2010
NPI Data:
- NPI Number: 1326335829
- Provider Enumeration Date: 07/05/2011
- Last Update Date: 02/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921278862
- Enrollment ID: I20110831000683
Medical Identifiers
Medical identifiers for Mrs Camelle Stacian Redding such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1326335829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | R133694 (Maryland) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | R133694 (Maryland) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | R133694 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lifebridge Community Physicians Inc | 3678751468 | 175 |
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 Camelle Stacian Redding allows following entities to bill medicare on her behalf.
| Entity Name | Lifebridge Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318 |
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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. Mrs Camelle Stacian Redding 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 Camelle Stacian Redding, CRNP 23 Crossroads Dr Ste 340, Owings Mills, MD 21117-5492 Ph: (410) 653-0366 | Mrs Camelle Stacian Redding, CRNP 23 Crossroads Dr Ste 340, Owings Mills, MD 21117-5492 Ph: (410) 653-0366 |
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