Malik Campbell, is a medicare enrolled "Physical Therapist" provider in Fleetwood, New York. His current practice location is
559 Gramatan Ave Ste 203-205, Fleetwood, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 371-1990.
Malik Campbell is licensed to practice in New York (license number 051191) 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 1346015708.
Healthcare Provider's Profile
| Full Name | Malik Campbell |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 559 Gramatan Ave Ste 203-205, Fleetwood, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346015708
- Provider Enumeration Date: 11/16/2023
- Last Update Date: 11/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567812787
- Enrollment ID: I20231229000601
Medical Identifiers
Medical identifiers for Malik Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346015708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 051191 (New York) | 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. Malik Campbell allows following entities to bill medicare on his behalf.
| Provider Name | Professional Occupational & Physical Therapy Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1205296902
PECOS PAC ID: 3779873401
Enrollment ID: O20160608000715 |
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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. Malik 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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Malik Campbell,
576 Broadhollow Rd,
Melville, NY 11747-5002
Ph: (631) 359-5859 | Malik Campbell,
559 Gramatan Ave Ste 203-205,
Fleetwood, NY 10552-2155
Ph: (914) 371-1990 |
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