Paulomi Raiji Campbell, PHD in Seattle, WA - Medicare Psychologist Provider

Paulomi Raiji Campbell, PHD is a medicare enrolled "Psychologist" provider in Seattle, Washington. Her current practice location is 600 Broadway Ste 530, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 386-2013.

Paulomi Raiji Campbell is licensed to practice in Washington (license number PY61395858) 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 1871808477.

Contact Information

	Paulomi Raiji Campbell, PHD
	600 Broadway Ste 530, Seattle, WA 98122-5396
	(206) 386-2013
	(206) 386-2149

Map and Direction

Healthcare Provider's Profile

Full Name	Paulomi Raiji Campbell
Gender	Female
Speciality	Psychologist
Location	600 Broadway Ste 530, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871808477
Provider Enumeration Date: 08/09/2010
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2264556117
Enrollment ID: I20240522002915

Medical Identifiers

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

Identifier	Type	State	Issuer
1871808477	NPI	-	NPPES
2244952	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY61395858 (Washington)	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. Paulomi Raiji Campbell allows following entities to bill medicare on her behalf.

Entity Name	Swedish Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187

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. Paulomi Raiji 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
Paulomi Raiji Campbell, PHD Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476	Paulomi Raiji Campbell, PHD 600 Broadway Ste 530, Seattle, WA 98122-5396 Ph: (206) 386-2013

Reviews and Comments

Psychologist in Seattle, WA

Dr. Justin Benjamin Miller, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000
Katherine Evans Stanfill, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 Westlake Ave N Ste 416, Seattle, WA 98109 Phone: 206-973-7262
Alice Verstaen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 S Columbian Way, Seattle, WA 98108 Phone: 206-277-3776
Dr. Gregory Eugene Moy, PHD, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3730 Renton Ave S, Seattle, WA 98144 Phone: 206-580-3723
Kaitlyn Marie Drafton, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6901 Sand Point Way Ne, Seattle, WA 98115 Phone: 206-987-2000
Dr. Elizabeth Tam Dexter-mazza, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5122 25th Ave Ne, Seattle, WA 98105 Phone: 206-779-1265
Dr. Jane Kate Harmon Jacobs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5410 California Ave Sw, Suite 201, Seattle, WA 98136 Phone: 206-683-6512

Paulomi Raiji Campbell, PHD - Medicare Psychologist in Seattle, WA