Stephanie Campbell, PMHNP-BC is a medicare enrolled "Behavior Technician" in Burnsville, Minnesota. Her current practice location is
1500 Mcandrews Rd W Ste 100, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 229-5349.
Stephanie Campbell is licensed to practice in * (Not Available) (license number ) 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 1821852674.
Provider's Profile
| Full Name | Stephanie Campbell |
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| Gender | Female |
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| Speciality | Behavior Technician |
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| Location | 1500 Mcandrews Rd W Ste 100, Burnsville, Minnesota |
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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: 1821852674
- Provider Enumeration Date: 02/12/2024
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779019765
- Enrollment ID: I20241213002724
Medical Identifiers
Medical identifiers for Stephanie Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821852674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11991 (Minnesota) | Secondary |
| 106S00000X | Behavior Technician | (* (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. Stephanie Campbell allows following entities to bill medicare on her behalf.
| Entity Name | Serenity Behavioral Health & Wellness, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750999546 PECOS PAC ID: 7810308517 Enrollment ID: O20201202000942 |
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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. Stephanie 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 |
Stephanie Campbell, PMHNP-BC 1500 Mcandrews Rd W Ste 100, Burnsville, MN 55337-4475 Ph: (952) 229-5349 | Stephanie Campbell, PMHNP-BC 1500 Mcandrews Rd W Ste 100, Burnsville, MN 55337-4475 Ph: (952) 229-5349 |
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