Ms Heather Ann Campbell, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Moraine, Ohio. Her current practice location is
5348 Lamme Rd, Moraine, Ohio. You can reach out to her office (for appointments etc.) via phone at
(391) 534-4651.
Ms Heather Ann Campbell is licensed to practice in Ohio (license number APRN.CNP.0037133) 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 1891505863.
Physician's Profile
Full Name | Ms Heather Ann Campbell |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 5348 Lamme Rd, Moraine, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891505863
- Provider Enumeration Date: 01/10/2025
- Last Update Date: 03/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991773988
- Enrollment ID: I20250217001638
Medical Identifiers
Medical identifiers for Ms Heather Ann Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891505863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 0037133 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0037133 (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. Ms Heather Ann Campbell allows following entities to bill medicare on her behalf.
Entity Name | Kettering Independent Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
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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. Ms Heather 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 Heather Ann Campbell, PMHNP 5348 Lamme Rd, Moraine, OH 45439-3215 Ph: (937) 534-4651 | Ms Heather Ann Campbell, PMHNP 5348 Lamme Rd, Moraine, OH 45439-3215 Ph: (391) 534-4651 |
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