Jillian L Campbell, in Franklin Square, NY - Medicare Counselor Provider

Jillian L Campbell, is a medicare enrolled "Counselor - Mental Health" provider in Franklin Square, New York. Her current practice location is 340 Dogwood Ave Ste 106, Franklin Square, New York. You can reach out to her office (for appointments etc.) via phone at (516) 505-1717.

Jillian L Campbell is licensed to practice in New York (license number 011774) 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 1912537010.

Contact Information

	Jillian L Campbell,
	340 Dogwood Ave Ste 106, Franklin Square, NY 11010-3400
	(516) 505-1717
	(516) 505-1627

Map and Direction

Healthcare Provider's Profile

Full Name	Jillian L Campbell
Gender	Female
Speciality	Counselor - Mental Health
Location	340 Dogwood Ave Ste 106, Franklin Square, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912537010
Provider Enumeration Date: 01/17/2020
Last Update Date: 01/17/2020

Medicare PECOS Information:

PECOS PAC ID: 0749722288
Enrollment ID: I20240611004646

Medical Identifiers

Medical identifiers for Jillian L Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912537010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	011774 (New York)	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. Jillian L Campbell allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Jillian L 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
Jillian L Campbell, 340 Dogwood Ave Ste 106, Franklin Square, NY 11010-3400 Ph: (516) 505-1717	Jillian L Campbell, 340 Dogwood Ave Ste 106, Franklin Square, NY 11010-3400 Ph: (516) 505-1717

Reviews and Comments

Counselor in Franklin Square, NY

Ms. Mary-theresa Sznukowski, BA, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200a Hempstead Tpke, Franklin Square, NY 11010 Phone: 516-328-1717 Fax: 516-328-1627
Ms. Kathleen Pra, MMF Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200a Hempstead Tpke, Franklin Square, NY 11010 Phone: 516-328-1717 Fax: 516-328-1627
Mr. Stephen Cerckia, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1192 Burton Ave, Franklin Square, NY 11010 Phone: 516-662-6366
Ms. Theresa Bacher, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200a Hempstead Tpke, Franklin Square, NY 11010 Phone: 516-328-1717 Fax: 516-328-1627
Marissa Fazio-haering, LMHC, CRC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 672 Dogwood Ave # 123, Franklin Square, NY 11010 Phone: 516-712-2562
Ms. Laverna Frasier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200a Hempstead Tpke, Franklin Square, NY 11010 Phone: 516-328-1717 Fax: 516-328-1627
Ms. Daniela Pereira, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200a Hempstead Tpke, Franklin Square, NY 11010 Phone: 516-328-1717 Fax: 516-328-1627

Jillian L Campbell, - Medicare Counselor in Franklin Square, NY