Mr Willie James Campbell, LCSW in Rome, GA - Medicare Clinical Social Worker Provider

Mr Willie James Campbell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rome, Georgia. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Lifesource Of North Carolina, Doctor On Demand Professionals P C, Lifesource Of North Carolina, Lifesource Of North Carolina, Lifesource Of North Carolina and his current practice location is 1345 Redmond Cir Nw, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at (910) 742-9243.

Mr Willie James Campbell is licensed to practice in Georgia (license number CSW004685) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417217092.

Contact Information

	Mr Willie James Campbell, LCSW
	1345 Redmond Cir Nw, Rome, GA 30165-1307
	(910) 742-9243
	(888) 746-1787

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Willie James Campbell
Gender	Male
Speciality	Clinical Social Worker
Experience	36 Years
Location	1345 Redmond Cir Nw, Rome, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Willie James Campbell graduated from medical school in 1988

NPI Data:

NPI Number: 1417217092
Provider Enumeration Date: 05/17/2012
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1456500545
Enrollment ID: I20121004000749

Medical Identifiers

Medical identifiers for Mr Willie James Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417217092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW004685 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifesource Of North Carolina	7416132428	154
Doctor On Demand Professionals P C	9436464567	119
Lifesource Of North Carolina	7416132428	154
Lifesource Of North Carolina	7416132428	154
Lifesource Of North Carolina	7416132428	154

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. Mr Willie James Campbell allows following entities to bill medicare on his behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863

Entity Name	Doctor On Demand Professionals P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20200417002815

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. Mr Willie James 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
Mr Willie James Campbell, LCSW Po Box 709, Fairburn, GA 30213-0709 Ph: (770) 969-2569	Mr Willie James Campbell, LCSW 1345 Redmond Cir Nw, Rome, GA 30165-1307 Ph: (910) 742-9243

Reviews and Comments

Social Worker in Rome, GA

Aquarius S Card, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1345 Redmond Cir Nw, Rome, GA 30165 Phone: 910-742-9243
Ms. Sara Wright Shropshire, MSW, LCSW, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Thornwood Dr Sw, Rome, GA 30165 Phone: 706-346-0612
Ronnie E Marks, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Mathis Dr Nw, Rome, GA 30165 Phone: 706-233-9023 Fax: 706-314-6622
Ms. Sharon Bassett Jenkins, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6 Mathis Dr Nw, Rome, GA 30165 Phone: 706-233-9023 Fax: 706-370-7749
Phyllis J Jeter, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1345 Redmond Cir Nw, Rome, GA 30165 Phone: 910-742-9243 Fax: 888-746-1787
Haley Catanzarito, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 105 Redmond Rd Nw, Rome, GA 30165 Phone: 910-376-1663

Mr Willie James Campbell, LCSW - Medicare Clinical Social Worker in Rome, GA