Dr Stephen Ian Campbell, DDS is a medicare enrolled "Peer Specialist" provider in Tulsa, Oklahoma. His current practice location is
6333 E Skelly Dr, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 664-4224.
Dr Stephen Ian Campbell is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659455913.
Healthcare Provider's Profile
| Full Name | Dr Stephen Ian Campbell |
|---|
| Gender | Male |
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| Speciality | Peer Specialist |
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| Location | 6333 E Skelly Dr, Tulsa, Oklahoma |
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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: 1659455913
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 03/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668753575
- Enrollment ID: I20170109002547
Medical Identifiers
Medical identifiers for Dr Stephen Ian Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659455913 | NPI | - | NPPES |
| 8341 | Other | WA | STATE LICENSE NUMBER |
| D10407 | Other | OR | OREGON DENTAL BOARD |
| 4747 | Other | OK | STATE DENTAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D10407 (Oregon) | Secondary |
| 1223G0001X | Dentist - General Practice | 4747 (Oklahoma) | Secondary |
| 1223G0001X | Dentist - General Practice | DE8341 (Washington) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
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. Dr Stephen Ian 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 |
|---|
Dr Stephen Ian Campbell, DDS
5809 N 32nd St,
Broken Arrow, OK 74014-5119
Ph: (509) 939-6364 | Dr Stephen Ian Campbell, DDS
6333 E Skelly Dr,
Tulsa, OK 74135-6106
Ph: (918) 664-4224 |
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