Katari Amina Campbell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. She graduated from healthcare school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Family Health Centers Of San Diego Inc and her current practice location is
1660 Hotel Cir N Ste 101, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 961-2120.
Katari Amina Campbell is licensed to practice in California (license number 93268) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598030207.
Healthcare Provider's Profile
| Full Name | Katari Amina Campbell |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 1660 Hotel Cir N Ste 101, San Diego, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katari Amina Campbell graduated from medical school in 2011
NPI Data:
- NPI Number: 1598030207
- Provider Enumeration Date: 03/13/2012
- Last Update Date: 07/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284096017
- Enrollment ID: I20230810003781
Medical Identifiers
Medical identifiers for Katari Amina Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598030207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 93268 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Family Health Centers Of San Diego Inc | 3476446378 | 233 |
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. Katari Amina Campbell allows following entities to bill medicare on her behalf.
| Entity Name | Family Health Centers Of San Diego Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923 |
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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. Katari Amina 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 |
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Katari Amina Campbell, LCSW
1660 Hotel Cir N Ste 101,
San Diego, CA 92108-2801
Ph: (619) 961-2120 | Katari Amina Campbell, LCSW
1660 Hotel Cir N Ste 101,
San Diego, CA 92108-2801
Ph: (619) 961-2120 |
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