Elizabeth Brooke Campbell, is a medicare enrolled "Clinical Neuropsychologist" provider in Crestview Hills, Kentucky. Her current practice location is
320 Thomas More Pkwy, Crestview Hills, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 341-4266.
Elizabeth Brooke Campbell is licensed to practice in Kentucky (license number 277928) 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 1093221350.
Healthcare Provider's Profile
| Full Name | Elizabeth Brooke Campbell |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 320 Thomas More Pkwy, Crestview Hills, Kentucky |
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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: 1093221350
- Provider Enumeration Date: 12/22/2017
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375929136
- Enrollment ID: I20220930002008
Medical Identifiers
Medical identifiers for Elizabeth Brooke Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093221350 | NPI | - | NPPES |
| 7100846950 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 277928 (Kentucky) | Secondary |
| 103T00000X | Psychologist | 6301019071 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 277928 (Kentucky) | 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. Elizabeth Brooke Campbell allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881026169
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
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| Entity Name | Riverhills Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205943651
PECOS PAC ID: 6103719596
Enrollment ID: O20040922000273 |
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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. Elizabeth Brooke 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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Elizabeth Brooke Campbell,
4805 Montgomery Rd Ste 150,
Cincinnati, OH 45212-2280
Ph: (513) 961-5558 | Elizabeth Brooke Campbell,
320 Thomas More Pkwy,
Crestview Hills, KY 41017
Ph: (859) 341-4266 |
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