Shanese Campbell, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in West Park, Florida. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. Her current practice location is
4008 Sw 27th St, West Park, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 864-4511.
Shanese Campbell is licensed to practice in Florida (license number SA20870) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1124745617.
Healthcare Provider's Profile
| Full Name | Shanese Campbell |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 5 Years |
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| Location | 4008 Sw 27th St, West Park, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shanese Campbell graduated from medical school in 2021
NPI Data:
- NPI Number: 1124745617
- Provider Enumeration Date: 10/25/2022
- Last Update Date: 10/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032604368
- Enrollment ID: I20251223003591
Medical Identifiers
Medical identifiers for Shanese Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124745617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | SA20870 (Florida) | Primary |
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. Shanese 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 |
|---|
Shanese Campbell, CCC-SLP
4008 Sw 27th St,
West Park, FL 33023-4468
Ph: (954) 864-4511 | Shanese Campbell, CCC-SLP
4008 Sw 27th St,
West Park, FL 33023-4468
Ph: (954) 864-4511 |
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