Wynton Campbell, in Addison, TX - Medicare Occupational Therapist Provider

Wynton Campbell, is a medicare enrolled "Occupational Therapist" provider in Addison, Texas. His current practice location is 5057 Keller Springs Rd Ste 150, Addison, Texas. You can reach out to his office (for appointments etc.) via phone at (800) 420-1036.

Wynton Campbell is licensed to practice in Florida (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104553767.

Contact Information

	Wynton Campbell,
	5057 Keller Springs Rd Ste 150, Addison, TX 75001-6217
	(800) 420-1036
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wynton Campbell
Gender	Male
Speciality	Occupational Therapist
Location	5057 Keller Springs Rd Ste 150, Addison, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104553767
Provider Enumeration Date: 08/04/2022
Last Update Date: 08/04/2022

Medicare PECOS Information:

PECOS PAC ID: 9537543566
Enrollment ID: I20220825000591

Medical Identifiers

Medical identifiers for Wynton Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104553767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(Florida)	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. Wynton Campbell allows following entities to bill medicare on his behalf.

Provider Name	Qrm Plus Florida-ot Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760159685 PECOS PAC ID: 9830596790 Enrollment ID: O20210921001215

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. Wynton 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
Wynton Campbell, 5057 Keller Springs Rd Ste 150, Addison, TX 75001-6217 Ph: (800) 420-1036	Wynton Campbell, 5057 Keller Springs Rd Ste 150, Addison, TX 75001-6217 Ph: (800) 420-1036

Reviews and Comments

Occupational Therapist in Addison, TX

Anna Cecelia Belou, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 866-919-3240
Pivot Rehabilitation Services Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16750 Westgrove Dr Ste 300c, Addison, TX 75001 Phone: 972-729-6957
Elizabeth Michelle Hurley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 214-575-2999
Martha Pruitt Linyard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 866-919-3240
Wendy Lea Hale, MOT, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15305 Dallas Pkwy Ste 1200, Addison, TX 75001 Phone: 972-851-1022 Fax: 972-546-3118
Claire Johnson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 866-919-3240

Wynton Campbell, - Medicare Occupational Therapist in Addison, TX