Brett Thomas Campbell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kansas City, Missouri. His current practice location is
3515 Broadway Blvd, Kansas City, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 777-2731.
Brett Thomas Campbell is licensed to practice in Missouri (license number 2018017502) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407227416.
Healthcare Provider's Profile
| Full Name | Brett Thomas Campbell |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3515 Broadway Blvd, Kansas City, Missouri |
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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: 1407227416
- Provider Enumeration Date: 10/16/2015
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022366244
- Enrollment ID: I20180803002987
Medical Identifiers
Medical identifiers for Brett Thomas Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407227416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2018017502 (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. Brett Thomas Campbell allows following entities to bill medicare on his behalf.
| Entity Name | Kansas City Care Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215273388
PECOS PAC ID: 9335386168
Enrollment ID: O20130514000624 |
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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. Brett Thomas 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 |
|---|
Brett Thomas Campbell, LCSW
3515 Broadway Blvd,
Kansas City, MO 64111-2501
Ph: (816) 777-2731 | Brett Thomas Campbell, LCSW
3515 Broadway Blvd,
Kansas City, MO 64111
Ph: (816) 777-2731 |
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