Shannon Renee Campbell, in Dayton, TX - Medicare Counselor Provider

Shannon Renee Campbell, is a medicare enrolled "Counselor - Professional" provider in Dayton, Texas. Her current practice location is 508 W Clayton St Unit A, Dayton, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 262-7800.

Shannon Renee Campbell is licensed to practice in Texas (license number 83375) 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 1174246839.

Contact Information

	Shannon Renee Campbell,
	508 W Clayton St Unit A, Dayton, TX 77535-2404
	(936) 262-7800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Renee Campbell
Gender	Female
Speciality	Counselor - Professional
Location	508 W Clayton St Unit A, Dayton, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174246839
Provider Enumeration Date: 09/19/2022
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 7416480090
Enrollment ID: I20241105000048

Medical Identifiers

Medical identifiers for Shannon Renee Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174246839	NPI	-	NPPES
83375	Other	TX	LPC LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	83375 (Texas)	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. Shannon Renee Campbell allows following entities to bill medicare on her behalf.

Entity Name	Serenity Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245943406 PECOS PAC ID: 1153854732 Enrollment ID: O20241105000036

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. Shannon Renee 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
Shannon Renee Campbell, Po Box 38, Dayton, TX 77535-0001 Ph: (936) 262-7800	Shannon Renee Campbell, 508 W Clayton St Unit A, Dayton, TX 77535-2404 Ph: (936) 262-7800

Reviews and Comments

Counselor in Dayton, TX

Melinda F Crawford, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Tracie Dr, Dayton, TX 77535 Phone: 936-933-2600
Catherine Trinh, Counselor Medicare: Medicare Enrolled Practice Location: 23 Little John Ln, Dayton, TX 77535 Phone: 832-930-2709
Mrs. Nancy Lynn Leger-davie, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 County Road 6052, Dayton, TX 77535 Phone: 936-258-2084
Tate Reed, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1306 County Road 638, Dayton, TX 77535 Phone: 832-341-0123
Todd Puckett, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6 Skylark St, Dayton, TX 77535 Phone: 936-334-3309
Alice L Wilkinson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13012 Highway 146, Dayton, TX 77535 Phone: 409-771-8262 Fax: 281-480-7856

Shannon Renee Campbell, - Medicare Counselor in Dayton, TX