Nicole Campbell, LCSW - Medicare Clinical Social Worker in Perryville, MO

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Nicole Campbell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Perryville, Missouri. Her current practice location is 12 N Kingshighway St Ste 101, Perryville, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 547-3116.

Nicole Campbell is licensed to practice in Missouri (license number 2018030142) 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 1134605850.

Contact Information

Nicole Campbell, LCSW
12 N Kingshighway St Ste 101,
Perryville, MO 63775-1367
(573) 547-3116
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNicole Campbell
GenderFemale
SpecialitySocial Worker - Clinical
Location12 N Kingshighway St Ste 101, Perryville, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134605850
  • Provider Enumeration Date: 07/16/2018
  • Last Update Date: 07/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062842537
  • Enrollment ID: I20200423002866

Medical Identifiers

Medical identifiers for Nicole Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134605850NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 2018030142 (Missouri)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. Nicole Campbell allows following entities to bill medicare on her behalf.
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073587655
PECOS PAC ID: 3274432802
Enrollment ID: O20040312000516
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801817416
PECOS PAC ID: 3274432802
Enrollment ID: O20040617000089
Entity NameAdvanced Psychiatric Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154372464
PECOS PAC ID: 8820074297
Enrollment ID: O20040710000000

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. Nicole 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 AddressPractice Location Address
Nicole Campbell, LCSW
12 N Kingshighway St Ste 101,
Perryville, MO 63775-1367

Ph: (573) 547-3116		Nicole Campbell, LCSW
12 N Kingshighway St Ste 101,
Perryville, MO 63775-1367

Ph: (573) 547-3116

Reviews and Comments


Social Worker in Perryville, MO

Cindy Blacklidge, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 114 West South Street, Perryville, MO 63775
Phone: 573-513-2918    
Mr. Kurt Dominick Larose, LCSW, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 12 N Kings Hwy Ste 101, Perryville, MO 63775
Phone: 573-547-3116    Fax: 573-547-2963
Michelle R. Perez, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 12 N Kingshighway St Ste 101, Perryville, MO 63775
Phone: 573-547-3116    
Mrs. Sherry Ann Goshen, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 12 N Kings Hwy, Perryville, MO 63775
Phone: 573-547-3116    
Mrs. Nicola Wissler, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 12 N Kingshighway St Ste 101, Perryville, MO 63775
Phone: 573-547-3116    
James Morris, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 406 N Spring St Ste 2, Perryville, MO 63775
Phone: 573-547-8305    Fax: 573-547-8306

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.