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Carmine A Cammarosano

Ophthalmology

Allopathic & Osteopathic Physicians

1321 Cottonwood St # 202, Woodland, CA 95695

PECOS Enrollment

This provider is enrolled in PECOS as CARMINE CAMMAROSANO.

Based on the most recent information from CMS, provider Carmine A Cammarosano is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1811913205
Provider Type
Individual
Full Name
Cammarosano, Carmine A
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/15/2006
Last Updated
6/27/2018

Contact Information

Practice Location

1321 Cottonwood St # 202, Woodland, CA 95695

(530) 668-2600

(530) 668-9591

Mailing Location

3400 Data Dr., Attn: Credentialing/Payer Enrollment, Rancho Cordova, CA 95670-7956

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207W00000X Primary	Description Ophthalmology Allopathic & Osteopathic Physicians	License G67865 California

Provider Identifiers

ID	Description	Issuer
ID 180025616	Description Other	Issuer RR MEDICARE California
ID 00G678650	Description Other	Issuer BLUE SHIELD California
ID 00G678650	Description Medicaid	Issuer Unlisted California

Carmine A Cammarosano

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Chu, Yilin

Perlman, Jonathan P

Medical Vision Technology Ophthalmology Group, Inc

Nguyen, Filbert

Perlman Center For Eye And Eyelijd Surgery Medical Corp