Ms Heather Ann Campbell, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Moraine, Ohio. She went to Ohio Medical University and graduated in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Autumn Treatment Center Llc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 |
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| Experience | 2 Years |
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| Location | 5348 Lamme Rd, Moraine, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Heather Ann Campbell attended and graduated from Ohio Medical University in 2024
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 |
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| 1891505863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0037133 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0037133 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Autumn Treatment Center Llc | 6002204344 | 11 |
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 |
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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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