Miss Sarah Nicole Campbell, LMSW is a medicare enrolled "Counselor - Mental Health" provider in Southgate, Michigan. Her current practice location is
14799 Dix Toledo Rd, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 825-9700.
Miss Sarah Nicole Campbell is licensed to practice in Michigan (license number 6801094718) 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 1942724463.
Healthcare Provider's Profile
| Full Name | Miss Sarah Nicole Campbell |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 14799 Dix Toledo Rd, Southgate, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942724463
- Provider Enumeration Date: 07/26/2017
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648544627
- Enrollment ID: I20170915000081
Medical Identifiers
Medical identifiers for Miss Sarah Nicole Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942724463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 6801094718 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6801094718 (Michigan) | 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. Miss Sarah Nicole Campbell allows following entities to bill medicare on her behalf.
| Entity Name | County Of Macomb |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040308000888 |
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| Entity Name | Ismail B Sendi Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609882067 PECOS PAC ID: 4688674534 Enrollment ID: O20061228000140 |
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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. Miss Sarah Nicole Campbell 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 |
Miss Sarah Nicole Campbell, LMSW 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: () - | Miss Sarah Nicole Campbell, LMSW 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (586) 825-9700 |
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