Jenni Marie Campbell, LICSW in Randolph, VT - Medicare Social Worker Provider

Jenni Marie Campbell, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Randolph, Vermont. Her current practice location is 11 N Main St, Po Box G, Randolph, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 728-4466.

Jenni Marie Campbell is licensed to practice in Vermont (license number 089.0084108) 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 1912245143.

Contact Information

	Jenni Marie Campbell, LICSW
	11 N Main St, Po Box G, Randolph, VT 05060-1126
	(802) 728-4466
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jenni Marie Campbell
Gender	Female
Speciality	Social Worker - Clinical
Location	11 N Main St, Randolph, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912245143
Provider Enumeration Date: 01/23/2013
Last Update Date: 01/23/2013

Medicare PECOS Information:

PECOS PAC ID: 2668618018
Enrollment ID: I20130410000017

Medical Identifiers

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

Identifier	Type	State	Issuer
1912245143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089.0084108 (Vermont)	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. Jenni Marie Campbell allows following entities to bill medicare on her behalf.

Entity Name	Clara Martin Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386710861 PECOS PAC ID: 1951395367 Enrollment ID: O20060315000608

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. Jenni Marie 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
Jenni Marie Campbell, LICSW 11 N Main St, Po Box G, Randolph, VT 05060-1126 Ph: (802) 728-4466	Jenni Marie Campbell, LICSW 11 N Main St, Po Box G, Randolph, VT 05060-1126 Ph: (802) 728-4466

Reviews and Comments

Social Worker in Randolph, VT

Nancy Copeland, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197
Shana Kotelchuck, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197
James Tautfest, RN Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2613
Alida Shriber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197
Margaret Hammond, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197
Mrs. Nathalie C Sugarman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4926
Joshua B Amses, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197

Jenni Marie Campbell, LICSW - Medicare Clinical Social Worker in Randolph, VT