Mr Mark Thomas Campbell, is a
Community Health Worker based in Fresno, California. Mr Mark Thomas Campbell is licensed to practice in * (Not Available) (license number ) and his current practice location is
7120 N Marks Ave Ste 110, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 439-5437.
NPI number for Mr Mark Thomas Campbell is 1356869226 and his current mailing address is 7120 N Marks Ave Ste 110, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356869226.
Healthcare Provider's Profile
| Full Name | Mr Mark Thomas Campbell |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 7120 N Marks Ave Ste 110, Fresno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356869226
- Provider Enumeration Date: 08/31/2017
- Last Update Date: 01/24/2024
Medical Identifiers
Medical identifiers for Mr Mark Thomas Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356869226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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 Mark Thomas Campbell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Mark Thomas Campbell,
7120 N Marks Ave Ste 110,
Fresno, CA 93711-0268
Ph: (559) 476-2166 | Mr Mark Thomas Campbell,
7120 N Marks Ave Ste 110,
Fresno, CA 93711-0268
Ph: (559) 439-5437 |
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