Ms Jill Ann Campbell, MS, RD, LD, CDE in Tyler, TX - Medicare Dietitian, Registered Provider

Ms Jill Ann Campbell, MS, RD, LD, CDE is a medicare enrolled "Dietitian, Registered" provider in Tyler, Texas. Her current practice location is 3593 E Grande Blvd, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 839-2585.

Ms Jill Ann Campbell is licensed to practice in * (Not Available) (license number 887653) 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 1225776495.

Contact Information

	Ms Jill Ann Campbell, MS, RD, LD, CDE
	3593 E Grande Blvd, Tyler, TX 75707-1400
	(903) 839-2585
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jill Ann Campbell
Gender	Female
Speciality	Dietitian, Registered
Location	3593 E Grande Blvd, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225776495
Provider Enumeration Date: 05/26/2022
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 6800275876
Enrollment ID: I20220622000449

Medical Identifiers

Medical identifiers for Ms Jill Ann Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225776495	NPI	-	NPPES
133V00000X	Other		COMMISSION OF DIETETIC REGISTRATION
20420056	Other		CERTIFICATION BOARD FOR DIABETES CARE AND EDUCATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	887653 (* (Not Available))	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. Ms Jill Ann Campbell allows following entities to bill medicare on her behalf.

Provider Name	Christus Trinity Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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. Ms Jill Ann 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
Ms Jill Ann Campbell, MS, RD, LD, CDE 3100 Williamsburg Cir, Tyler, TX 75701-6672 Ph: (903) 258-0357	Ms Jill Ann Campbell, MS, RD, LD, CDE 3593 E Grande Blvd, Tyler, TX 75707-1400 Ph: (903) 839-2585

Reviews and Comments

Dietitian, Registered in Tyler, TX

Clarice Michelle Mcdaniels, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 428 Centennial Pkwy, Tyler, TX 75703 Phone: 903-266-5900
Neily Louise Wheeler, LICENSED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-592-7393 Fax: 903-597-7538
Mary Margaret Roberts, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1120 E Front St, Tyler, TX 75702 Phone: 903-606-3630 Fax: 903-606-3660
Mrs. Lauren Clark, MS, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 910 E Houston St Ste 320, Tyler, TX 75702 Phone: 903-606-4300 Fax: 903-606-1283
Miss Sara Hanson, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1358 E Richards St, Tyler, TX 75702 Phone: 903-531-9455
Jill Coble, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777
Callie Tatman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777

Ms Jill Ann Campbell, MS, RD, LD, CDE - Medicare Dietitian in Tyler, TX