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. |
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 |
1780925784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
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 | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
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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 |
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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