Jacqueline Camp, PHD in Raleigh, NC - Medicare Psychologist Provider

Jacqueline Camp, PHD is a medicare enrolled "Psychologist" provider in Raleigh, North Carolina. Her current practice location is 5868 Faringdon Pl Ste 16a, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 424-1973.

Jacqueline Camp is licensed to practice in North Carolina (license number 5082) 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 1336415637.

Contact Information

	Jacqueline Camp, PHD
	5868 Faringdon Pl Ste 16a, Raleigh, NC 27609-3931
	(919) 424-1973
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Camp
Gender	Female
Speciality	Psychologist
Location	5868 Faringdon Pl Ste 16a, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336415637
Provider Enumeration Date: 03/30/2012
Last Update Date: 02/05/2021

Medicare PECOS Information:

PECOS PAC ID: 7012159361
Enrollment ID: I20170117001248

Medical Identifiers

Medical identifiers for Jacqueline Camp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336415637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20042737A (Indiana)	Secondary
103TC0700X	Psychologist - Clinical	20042737A (Indiana)	Secondary
103T00000X	Psychologist	5082 (North Carolina)	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. Jacqueline Camp allows following entities to bill medicare on her behalf.

Entity Name	Reflect Professional Counseling And Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902409519 PECOS PAC ID: 6901296748 Enrollment ID: O20211209000947

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. Jacqueline Camp 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
Jacqueline Camp, PHD 5868 Faringdon Pl Ste 16a, Raleigh, NC 27609-3931 Ph: (919) 424-1973	Jacqueline Camp, PHD 5868 Faringdon Pl Ste 16a, Raleigh, NC 27609-3931 Ph: (919) 424-1973

Reviews and Comments

Psychologist in Raleigh, NC

Mrs. Betty-shannon Prevatt, M.A., LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2601 Lake Dr, Suite 103, Raleigh, NC 27607 Phone: 919-612-3348 Fax: 919-782-1399
Joel Harris, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 6901 Three Bridges Cir, Raleigh, NC 27613 Phone: 910-398-0188 Fax: 814-377-0185
Mrs. Shelley T. Kraft, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 312 W Millbrook Rd, Suite 109, Raleigh, NC 27609 Phone: 919-845-9977 Fax: 919-845-9761
Dr. Benjamin David Reese Jr., PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8524 Six Forks Rd, Raleigh, NC 27615 Phone: 919-824-0768
Mrs. Alisa F Dawson, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4904 Waters Edge Dr Ste 154, Raleigh, NC 27606 Phone: 919-533-8726
Dr. Lise Leigh Osvold, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5500 Mcneely Dr, Suite 101, Raleigh, NC 27612 Phone: 919-787-1240 Fax: 919-787-1241
Dr. Bryte Elizabeth Marziano, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 220 Swinburne Rd, Raleigh, NC 27610 Phone: 919-250-3110

Jacqueline Camp, PHD - Medicare Psychologist in Raleigh, NC