Camellia Collective Llc is a medicare enrolled "Speech-language Pathologist" provider in Stratton, Vermont. Their current practice location is
146 Pike Hollow Rd, Stratton, Vermont. You can reach out to their office (for appointments etc.) via phone at
(609) 203-5389.
Camellia Collective Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Camellia Collective Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083588503.
Healthcare Provider's Profile
| Full Name | Camellia Collective Llc |
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| Type | Facility |
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| Speciality | Speech-language Pathologist |
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| Location | 146 Pike Hollow Rd, Stratton, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083588503
- Provider Enumeration Date: 09/30/2025
- Last Update Date: 09/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810487030
- Enrollment ID: O20251106002651
Medical Identifiers
Medical identifiers for Camellia Collective Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083588503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Camellia Collective Llc acts as a billing entity for following providers:
| Provider Name | Miya Wilson |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1508642992
PECOS PAC ID: 6901396126
Enrollment ID: I20251106003425 |
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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. Camellia Collective Llc 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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Camellia Collective Llc
Po Box 363,
West Wardsboro, VT 05360-0363
Ph: Not Available | Camellia Collective Llc
146 Pike Hollow Rd,
Stratton, VT 05360-9756
Ph: (609) 203-5389 |
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