Brenda Camilo, ACNPC-AG - Medicare Nurse Practitioner in Providence, RI

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Brenda Camilo, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Adult Health" in Providence, Rhode Island. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prospect Chartercare Physicians Llc, Ivy Medical Group Pllc and her current practice location is 50 Maude St Fl 3, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 456-6510.

Brenda Camilo is licensed to practice in Rhode Island (license number APRN04166) 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 1568196202.

Contact Information

Brenda Camilo, ACNPC-AG
50 Maude St Fl 3,
Providence, RI 02908-4325
(401) 456-6510
Not Available

Map and Direction




Provider's Profile

Full NameBrenda Camilo
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location50 Maude St Fl 3, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brenda Camilo graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1568196202
  • Provider Enumeration Date: 07/09/2022
  • Last Update Date: 03/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9537538475
  • Enrollment ID: I20240823003460

Medical Identifiers

Medical identifiers for Brenda Camilo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568196202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care F431982-01 (New York)Secondary
363LA2200XNurse Practitioner - Adult Health APRN04166 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Roger Williams Medical CenterProvidence, RIHospital
Our Lady Of Fatima HospitalNorth providence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prospect Chartercare Physicians Llc084041665771
Ivy Medical Group Pllc4981097797120

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. Brenda Camilo allows following entities to bill medicare on her behalf.
Entity NameProspect Chartercare Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629493135
PECOS PAC ID: 0840416657
Enrollment ID: O20140730001883
Entity NameIvy Medical Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700558798
PECOS PAC ID: 4981097797
Enrollment ID: O20250115000879
Entity NameChartercare Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235945650
PECOS PAC ID: 7416469416
Enrollment ID: O20250625001794
Entity NameDr Rebman Medical PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669276689
PECOS PAC ID: 3678087400
Enrollment ID: O20260126000565

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. Brenda Camilo 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 AddressPractice Location Address
Brenda Camilo, ACNPC-AG
50 Maude St Fl 3,
Providence, RI 02908-4325

Ph: (401) 456-6510		Brenda Camilo, ACNPC-AG
50 Maude St Fl 3,
Providence, RI 02908-4325

Ph: (401) 456-6510

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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