Camille Maria Pousson, MD

Individual provider Active NPI Psychiatry Physician · Killean, TX

NPI 1144265653 · NPPES record last updated Feb 11, 2010

Key facts

NPI
1144265653
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
F1909 (TX)
Practice address
100 East Avenue a
Killean, TX 76541
Phone
(254) 526-4146
Fax
(254) 526-9351
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Counties Center for Mental Health and Mental Retardation SRVS (16 clinicians)

Practice addresses (Care Compare)

304 S 22ND St
Temple, TX 76501-4726
Phone (254) 778-4841

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070207000013 TX Practitioner - Psychiatry 4880696731 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Counties Center for Mental Health & Mental Retardation SRVS Current
since Nov 1, 2006
Accepting new patients
Central Counties Center for Mental Health & Mental Retardation SRVS Current
since Nov 1, 2006
Accepting new patients
Bluebonnet Trails Community MHMR Center Psychiatry Past Accepting new patients

Locations

100 E Avenue A
Killeen, TX 76541
Phone (254) 298-7019

304 S 22nd St
Temple, TX 76501
Phone (254) 298-7000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X F1909 TX Yes

Addresses

Primary practice location

100 East Avenue a
Killean, TX 76541

Mailing address

304 South 22ND Street
Temple, TX 76501
Phone (254) 298-7000

Other identifiers

IdentifierTypeStateIssuer
1166670 03MedicaidTX

Sources for this page

Verify at the official NPI Registry.