Camille Marie Kielbasa, APRN, AGCNS-BC is a medicare enrolled "Clinical Nurse Specialist - Gerontology" in Georgetown, Texas. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Scott And White Clinic and her current practice location is
4945 Williams Dr, Georgetown, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 819-0500.
Camille Marie Kielbasa is licensed to practice in Texas (license number 1003698) 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 1609501774.
Provider's Profile
| Full Name | Camille Marie Kielbasa |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 4 Years |
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| Location | 4945 Williams Dr, Georgetown, Texas |
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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. |
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Medical Education and Training:
- Camille Marie Kielbasa graduated from nursing school in 2022
NPI Data:
- NPI Number: 1609501774
- Provider Enumeration Date: 07/21/2022
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668855339
- Enrollment ID: I20240923003914
Medical Identifiers
Medical identifiers for Camille Marie Kielbasa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609501774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364S00000X | Clinical Nurse Specialist | 1003698 (Texas) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 1003698 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Scott And White Clinic | 8123923604 | 2276 |
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. Camille Marie Kielbasa allows following entities to bill medicare on her behalf.
| Entity Name | Scott & White Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093779704
PECOS PAC ID: 8123923604
Enrollment ID: O20031223000640 |
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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. Camille Marie Kielbasa 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 |
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Camille Marie Kielbasa, APRN, AGCNS-BC
Po Box 844658,
Dallas, TX 75284-4658
Ph: (800) 994-0371 | Camille Marie Kielbasa, APRN, AGCNS-BC
4945 Williams Dr,
Georgetown, TX 78633-2008
Ph: (512) 819-0500 |
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