Mrs Lynne Conatser Camak, FNP is a medicare enrolled "Nurse Practitioner" physician in Canton, Georgia. Her current practice location is
460 Northside Cherokee Blvd Ste 150, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(470) 639-6350.
Mrs Lynne Conatser Camak is licensed to practice in Georgia (license number RN091685) 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 1588245138.
Physician's Profile
| Full Name | Mrs Lynne Conatser Camak |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 460 Northside Cherokee Blvd Ste 150, Canton, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588245138
- Provider Enumeration Date: 04/15/2021
- Last Update Date: 05/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 4587063896
- Enrollment ID: I20210518002673
Medical Identifiers
Medical identifiers for Mrs Lynne Conatser Camak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588245138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | RN091685 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN091685 (Georgia) | 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. Mrs Lynne Conatser Camak allows following entities to bill medicare on her behalf.
| Entity Name | Northside Cardiovascular Professional Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518979921 PECOS PAC ID: 9739189838 Enrollment ID: O20070112000232 |
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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 Lynne Conatser Camak 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 Lynne Conatser Camak, FNP 460 Northside Cherokee Blvd Ste 150, Canton, GA 30115-8018 Ph: (470) 639-6350 | Mrs Lynne Conatser Camak, FNP 460 Northside Cherokee Blvd Ste 150, Canton, GA 30115-8018 Ph: (470) 639-6350 |
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