Katrice Campbell, is a medicare enrolled "Case Manager/care Coordinator" provider in Bartow, Florida. Her current practice location is
1239 E Main St, Bartow, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 519-0575.
Katrice Campbell is licensed to practice in * (Not Available) (license number ) 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 1780925784.
Healthcare Provider's Profile
| Full Name | Katrice Campbell |
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| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 1239 E Main St, Bartow, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780925784
- Provider Enumeration Date: 03/15/2013
- Last Update Date: 08/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 0749638146
- Enrollment ID: I20231124000359
Medical Identifiers
Medical identifiers for Katrice Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780925784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | IMH14832 (Florida) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Katrice Campbell allows following entities to bill medicare on her behalf.
| Entity Name | Cotler Healthcare & Development Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225075047
PECOS PAC ID: 0143121145
Enrollment ID: O20040114000075 |
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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. Katrice 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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Katrice Campbell,
Po Box 1559,
Bartow, FL 33831-1559
Ph: () - | Katrice Campbell,
1239 E Main St,
Bartow, FL 33830-5058
Ph: (863) 519-0575 |
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