Ted Campbell, is a
Community Health Worker based in Fairbanks, Alaska. Ted Campbell is licensed to practice in NU (license number ) and his current practice location is
1300 Moore St, Fairbanks, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 452-8251.
NPI number for Ted Campbell is 1609088491 and his current mailing address is 1717 W Cowles St, Fairbanks, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609088491.
Healthcare Provider's Profile
| Full Name | Ted Campbell |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1300 Moore St, Fairbanks, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609088491
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 09/05/2024
Medical Identifiers
Medical identifiers for Ted Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609088491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 172V00000X | Community Health Worker | (NU) | Primary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
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. Ted Campbell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ted Campbell,
1717 W Cowles St,
Fairbanks, AK 99701-5926
Ph: (907) 452-8251 | Ted Campbell,
1300 Moore St,
Fairbanks, AK 99701-5761
Ph: (907) 452-8251 |
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