Tatiana D Campbell, LPC in Southaven, MS - Medicare Counselor Provider

Tatiana D Campbell, LPC is a medicare enrolled "Counselor - Professional" provider in Southaven, Mississippi. Her current practice location is 5908 Getwell Rd, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 536-4646.

Tatiana D Campbell is licensed to practice in Mississippi (license number 3056) 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 1720865793.

Contact Information

	Tatiana D Campbell, LPC
	5908 Getwell Rd, Southaven, MS 38672-7317
	(662) 536-4646
	(662) 536-4443

Map and Direction

Healthcare Provider's Profile

Full Name	Tatiana D Campbell
Gender	Female
Speciality	Counselor - Professional
Location	5908 Getwell Rd, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720865793
Provider Enumeration Date: 09/12/2023
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5890147052
Enrollment ID: I20240213003253

Medical Identifiers

Medical identifiers for Tatiana D Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720865793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0701012355 (Virginia)	Secondary
101YP2500X	Counselor - Professional	3056 (Mississippi)	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. Tatiana D Campbell allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093016651 PECOS PAC ID: 0941480131 Enrollment ID: O20110920000312

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. Tatiana D 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
Tatiana D Campbell, LPC 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: () -	Tatiana D Campbell, LPC 5908 Getwell Rd, Southaven, MS 38672-7317 Ph: (662) 536-4646

Reviews and Comments

Counselor in Southaven, MS

Dr. Marilyn S Snow, PH.D. ,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8626 Airways Blvd, Southaven, MS 38671 Phone: 662-772-5937 Fax: 662-772-5940
Mrs. Tracy Louise Humphrey, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7160 Tchulahoma Rd Bldg B, Southaven, MS 38671 Phone: 662-536-3132
Debbie S. Harrison, LPC, MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 8829 Centre St, Southaven, MS 38671 Phone: 662-280-5758 Fax: 662-280-5708
Mrs. Angelique R Walker, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9151 Kirkwood Ln, Southaven, MS 38671 Phone: 228-234-5928
Kimberly Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Goodman Rd E, Southaven, MS 38671 Phone: 662-470-5433 Fax: 501-745-2378
Ms. Lakeia Kirksey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7160 Tchulahoma Rd Bldg B, Southaven, MS 38671 Phone: 662-536-3132
Mrs. Meagan Michell Mcpherson, LPC, M.ED, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 885 Ferncliff Cv, Suite Number 2, Southaven, MS 38671 Phone: 662-342-2700 Fax: 662-342-7300

Tatiana D Campbell, LPC - Medicare Counselor in Southaven, MS