Camille M Moonsammy, NURSE PRACTITIONER is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in East Greenwich, Rhode Island. Her current practice location is
42 Ladd St Ste 319, East Greenwich, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 206-0110.
Camille M Moonsammy is licensed to practice in Rhode Island (license number APRN01546) 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 1639540826.
Provider's Profile
| Full Name | Camille M Moonsammy |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 42 Ladd St Ste 319, East Greenwich, Rhode Island |
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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: 1639540826
- Provider Enumeration Date: 10/13/2015
- Last Update Date: 06/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789986829
- Enrollment ID: I20170919002590
Medical Identifiers
Medical identifiers for Camille M Moonsammy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639540826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | APRN01546 (Rhode Island) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN01546 (Rhode Island) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | APRN01546 (Rhode Island) | 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. Camille M Moonsammy allows following entities to bill medicare on her behalf.
| Entity Name | The Opening, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679241210
PECOS PAC ID: 6002209921
Enrollment ID: O20220216002156 |
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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 M Moonsammy 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 |
|---|
Camille M Moonsammy, NURSE PRACTITIONER
42 Ladd St Ste 319,
East Greenwich, RI 02818-4361
Ph: (401) 206-0110 | Camille M Moonsammy, NURSE PRACTITIONER
42 Ladd St Ste 319,
East Greenwich, RI 02818-4361
Ph: (401) 206-0110 |
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