Mrs Natosha Labelle Campos, LPC, LMSW is a medicare enrolled "Social Worker" provider in Bridgeport, Connecticut. Her current practice location is
46 Albion St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 330-6000.
Mrs Natosha Labelle Campos is licensed to practice in Connecticut (license number 01171) 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 1265628200.
Healthcare Provider's Profile
| Full Name | Mrs Natosha Labelle Campos |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 46 Albion St, Bridgeport, Connecticut |
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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: 1265628200
- Provider Enumeration Date: 09/24/2007
- Last Update Date: 10/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830623834
- Enrollment ID: I20241113003692
Medical Identifiers
Medical identifiers for Mrs Natosha Labelle Campos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265628200 | NPI | - | NPPES |
| 001171 | Other | CT | STATE LICENSE |
| 004236148 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 01171 (Connecticut) | 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. Mrs Natosha Labelle Campos allows following entities to bill medicare on her behalf.
| Entity Name | South-west Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699703686
PECOS PAC ID: 2466445200
Enrollment ID: O20040420001098 |
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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. Mrs Natosha Labelle Campos 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 |
|---|
Mrs Natosha Labelle Campos, LPC, LMSW
46 Albion St,
Bridgeport, CT 06605-2602
Ph: (203) 330-6000 | Mrs Natosha Labelle Campos, LPC, LMSW
46 Albion St,
Bridgeport, CT 06605-2602
Ph: (203) 330-6000 |
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