Kristy Marie Campbell, LPC is a medicare enrolled "Counselor - Professional" provider in Tracy, Minnesota. Her current practice location is
10628 160th St, Tracy, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 649-1894.
Kristy Marie Campbell is licensed to practice in Minnesota (license number 4913) 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 1215647649.
Healthcare Provider's Profile
| Full Name | Kristy Marie Campbell |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 10628 160th St, Tracy, Minnesota |
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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: 1215647649
- Provider Enumeration Date: 11/28/2022
- Last Update Date: 06/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739697962
- Enrollment ID: I20250731001184
Medical Identifiers
Medical identifiers for Kristy Marie Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215647649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 4913 (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. Kristy Marie Campbell allows following entities to bill medicare on her behalf.
| Entity Name | Safe Haven Counseling PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447934948 PECOS PAC ID: 7911415146 Enrollment ID: O20250731001009 |
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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. Kristy Marie 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 |
Kristy Marie Campbell, LPC 10628 160th St, Tracy, MN 56175-1924 Ph: (507) 649-1894 | Kristy Marie Campbell, LPC 10628 160th St, Tracy, MN 56175-1924 Ph: (507) 649-1894 |
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