Camille Alline Clancy, in Center Point, AL - Medicare Occupational Therapist Provider

Camille Alline Clancy, is a medicare enrolled "Occupational Therapist" provider in Center Point, Alabama. Her current practice location is 1920 Old Springville Rd, Center Point, Alabama. You can reach out to her office (for appointments etc.) via phone at (800) 854-4589.

Camille Alline Clancy is licensed to practice in Georgia (license number ) 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 1124429741.

Contact Information

	Camille Alline Clancy,
	1920 Old Springville Rd, Center Point, AL 35215-5858
	(800) 854-4589
	Not Available

Healthcare Provider's Profile

Full Name	Camille Alline Clancy
Gender	Female
Speciality	Occupational Therapist
Location	1920 Old Springville Rd, Center Point, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124429741
Provider Enumeration Date: 09/15/2014
Last Update Date: 09/15/2014

Medicare PECOS Information:

PECOS PAC ID: 9830553379
Enrollment ID: I20230915002780

Medical Identifiers

Medical identifiers for Camille Alline Clancy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124429741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(Georgia)	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 Alline Clancy allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411

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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 Alline Clancy 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 Alline Clancy, 1920 Old Springville Rd, Center Point, AL 35215-5858 Ph: (800) 854-4589	Camille Alline Clancy, 1920 Old Springville Rd, Center Point, AL 35215-5858 Ph: (800) 854-4589

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Occupational Therapist in Center Point, AL

Zesarae Bodie, MPH, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1920 Old Springville Rd, Ste 104, Center Point, AL 35215 Phone: 205-520-9600
Laura Lee Whitehorne, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 800-854-4589 Fax: 205-520-0455
Jimmy Alphonse Chamberlain, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 800-854-4589 Fax: 205-520-0455
Mr. Frederick John Santos Santos, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 205-520-9600 Fax: 205-520-0455
Chun Ju Tsai, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 800-854-4589 Fax: 205-520-0455
Kevin Hrouda, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 800-854-4589

Camille Alline Clancy, - Medicare Occupational Therapist in Center Point, AL

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Occupational Therapist in Center Point, AL