Organization Active NPI

Marcy Cameron PLLC

  • Social Worker
  • Beverly Hills, MI
National Provider Identifier
1508476540
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MARCY CAMERON PLLC
Practice address
16969 Elizabeth St
Beverly Hills, MI 48025-5401
Phone
(248) 390-8261
NPI assigned
Aug 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Quiana Williams
Title
Medical Billing Analyst
Phone
(313) 320-3268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

16969 Elizabeth St
Beverly Hills, MI 48025-5401

Mailing address

16969 Elizabeth St
Beverly Hills, MI 48025-5401
Phone (248) 390-8261

Other names 1

  • Marcy Cameron PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118001016 MI Part B Supplier - Clinic/Group Practice 4587075833 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1508476540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16969 ELIZABETH ST",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255401",
            "telephone_number": "248-390-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16969 ELIZABETH ST",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255401",
            "telephone_number": "248-390-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCY CAMERON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "QUIANA",
        "authorized_official_title_or_position": "MEDICAL BILLING ANALYST",
        "authorized_official_telephone_number": "313-320-3268"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcy Cameron PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.