Mrs Susan Kathryn Campbell, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Garfield Hts, Ohio. Her current practice location is
10204 Granger Rd, Garfield Hts, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 581-2900.
Mrs Susan Kathryn Campbell is licensed to practice in Ohio (license number 4115) 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 1972622843.
Healthcare Provider's Profile
| Full Name | Mrs Susan Kathryn Campbell |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 10204 Granger Rd, Garfield Hts, Ohio |
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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: 1972622843
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6901298512
- Enrollment ID: I20220111001668
Medical Identifiers
Medical identifiers for Mrs Susan Kathryn Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972622843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 4115 (Ohio) | 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. Mrs Susan Kathryn Campbell allows following entities to bill medicare on her behalf.
| Provider Name | The Cleveland Clinic Foundation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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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. Mrs Susan Kathryn 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 |
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Mrs Susan Kathryn Campbell, RD, LD
4801 W 228th St,
Fairview Park, OH 44126-2426
Ph: (440) 777-3649 | Mrs Susan Kathryn Campbell, RD, LD
10204 Granger Rd,
Garfield Hts, OH 44125-3106
Ph: (216) 581-2900 |
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