Shaquesha D Campbell, LCSWA in Cornelius, NC - Medicare Social Worker Provider

Shaquesha D Campbell, LCSWA is a medicare enrolled "Social Worker - Clinical" provider in Cornelius, North Carolina. Her current practice location is 8705 Creek Trail Ln Apt 513, Cornelius, North Carolina. You can reach out to her office (for appointments etc.) via phone at (984) 204-3990.

Shaquesha D Campbell is licensed to practice in North Carolina (license number P015878) 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 1841873916.

Contact Information

	Shaquesha D Campbell, LCSWA
	8705 Creek Trail Ln Apt 513, Cornelius, NC 28031-6554
	(984) 204-3990
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shaquesha D Campbell
Gender	Female
Speciality	Social Worker - Clinical
Location	8705 Creek Trail Ln Apt 513, Cornelius, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841873916
Provider Enumeration Date: 05/05/2021
Last Update Date: 05/05/2021

Medicare PECOS Information:

PECOS PAC ID: 4880114230
Enrollment ID: I20250228000757

Medical Identifiers

Medical identifiers for Shaquesha D Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841873916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P015878 (North Carolina)	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. Shaquesha D Campbell allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188

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. Shaquesha D 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
Shaquesha D Campbell, LCSWA 8705 Creek Trail Ln Apt 513, Cornelius, NC 28031-6554 Ph: (984) 204-3990	Shaquesha D Campbell, LCSWA 8705 Creek Trail Ln Apt 513, Cornelius, NC 28031-6554 Ph: (984) 204-3990

Reviews and Comments

Social Worker in Cornelius, NC

Helen Mantis, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9624 Bailey Rd Ste 290, Cornelius, NC 28031 Phone: 704-564-0300
Marycaroline Gibson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18047 W Catawba Ave Ste 203, Cornelius, NC 28031 Phone: 704-662-2706
Ms. Amy Frank Bernstein, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8211 Village Harbor Dr, Cornelius, NC 28031 Phone: 704-252-1568
Madalyn Marie Derrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8206 Village Harbor Dr, Cornelius, NC 28031 Phone: 407-803-2390
Jenna Katelyn Daley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19900 S Main St Ste 8&9, Cornelius, NC 28031 Phone: 704-892-9490
Rebecca Hadden Mckeever, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9606 Bailey Rd, Suite 250, Cornelius, NC 28031 Phone: 704-896-8688
Ms. Michelle L Smith, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 19139 Berkley Commons Dr, Cornelius, NC 28031 Phone: 704-987-3050 Fax: 704-987-0664

Shaquesha D Campbell, LCSWA - Medicare Clinical Social Worker in Cornelius, NC