Deidre Campen, MS, LPCC is a medicare enrolled "Counselor - Professional" provider in Fairfax, Minnesota. Her current practice location is
205 1st Ave Nw, Fairfax, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 333-2220.
Deidre Campen is licensed to practice in Minnesota (license number 02328) 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 1477185577.
Healthcare Provider's Profile
Full Name | Deidre Campen |
---|
Gender | Female |
---|
Speciality | Counselor - Professional |
---|
Location | 205 1st Ave Nw, Fairfax, Minnesota |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477185577
- Provider Enumeration Date: 02/06/2020
- Last Update Date: 02/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658720289
- Enrollment ID: I20231207004151
Medical Identifiers
Medical identifiers for Deidre Campen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477185577 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PC014124 (Pennsylvania) | Secondary |
101YP2500X | Counselor - Professional | 02328 (Minnesota) | 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. Deidre Campen allows following entities to bill medicare on her behalf.
Entity Name | Thrive Counseling Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069 |
---|
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. Deidre Campen 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 |
Deidre Campen, MS, LPCC 4890 Grant Valley Rd Nw, Bemidji, MN 56601-5383 Ph: (352) 476-1845 | Deidre Campen, MS, LPCC 205 1st Ave Nw, Fairfax, MN 55332-3168 Ph: (218) 333-2220 |
Reviews and Comments