Jacquelyn A Campbell, LPC in Chandler, AZ - Medicare Counselor Provider

Jacquelyn A Campbell, LPC is a medicare enrolled "Counselor - Professional" provider in Chandler, Arizona. Her current practice location is 6909 W Ray Rd Ste 15, Chandler, Arizona. You can reach out to her office (for appointments etc.) via phone at (234) 716-6408.

Jacquelyn A Campbell is licensed to practice in Arizona (license number LPC-18602) 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 1417469610.

Contact Information

	Jacquelyn A Campbell, LPC
	6909 W Ray Rd Ste 15, Chandler, AZ 85226-1526
	(234) 716-6408
	(833) 464-3817

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn A Campbell
Gender	Female
Speciality	Counselor - Professional
Location	6909 W Ray Rd Ste 15, Chandler, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417469610
Provider Enumeration Date: 10/27/2017
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7113312166
Enrollment ID: I20240205003996

Medical Identifiers

Medical identifiers for Jacquelyn A Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417469610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	CP5573-R (Nevada)	Secondary
101Y00000X	Counselor	LPC-18602 (Arizona)	Secondary
101YM0800X	Counselor - Mental Health	CP5573-R (Nevada)	Secondary
101YM0800X	Counselor - Mental Health	LPC-18602 (Arizona)	Secondary
101YM0800X	Counselor - Mental Health	C.1700534 (Ohio)	Secondary
101YP2500X	Counselor - Professional	LPC-18602 (Arizona)	Primary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary

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. Jacquelyn A Campbell allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210830002742

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. Jacquelyn A 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
Jacquelyn A Campbell, LPC 6909 W Ray Rd Ste 15, Chandler, AZ 85226-1526 Ph: (234) 716-6408	Jacquelyn A Campbell, LPC 6909 W Ray Rd Ste 15, Chandler, AZ 85226-1526 Ph: (234) 716-6408

Reviews and Comments

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Jacquelyn A Campbell, LPC - Medicare Counselor in Chandler, AZ