Katelyn Campbell, DDS in Forked River, NJ - Medicare Dentist Provider

Katelyn Campbell, DDS is a medicare enrolled "Dentist" provider in Forked River, New Jersey. Her current practice location is 321 Lacey Rd, Forked River, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 693-9166.

Katelyn Campbell is licensed to practice in New Jersey (license number 22DI02576500) 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 1407256811.

Contact Information

	Katelyn Campbell, DDS
	321 Lacey Rd, Forked River, NJ 08731-2617
	(609) 693-9166
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katelyn Campbell
Gender	Female
Speciality	Dentist
Location	321 Lacey Rd, Forked River, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407256811
Provider Enumeration Date: 09/04/2014
Last Update Date: 03/13/2020

Medicare PECOS Information:

PECOS PAC ID: 2567883176
Enrollment ID: I20200608002481

Medical Identifiers

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

Identifier	Type	State	Issuer
1407256811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	22DI02576500 (New Jersey)	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. Katelyn Campbell allows following entities to bill medicare on her behalf.

Entity Name	Best Impressions Dental
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609497262 PECOS PAC ID: 4486075090 Enrollment ID: O20200608002326

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. Katelyn 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
Katelyn Campbell, DDS 321 Lacey Rd, Forked River, NJ 08731-2617 Ph: (908) 433-8641	Katelyn Campbell, DDS 321 Lacey Rd, Forked River, NJ 08731-2617 Ph: (609) 693-9166

Reviews and Comments

Dentist in Forked River, NJ

Dr. Tracey Shrestha, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 131 S Main St, Forked River, NJ 08731 Phone: 609-693-6066
Dr. Fouad Farid Fayek, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 302a N Main St, Forked River, NJ 08731 Phone: 609-804-5446
Dr. Alan A Schwartz, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1044 Lacey Rd, Lower Level, Forked River, NJ 08731 Phone: 609-693-6090 Fax: 609-693-6097
Dr. Frank J Poplawski, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 Lacey Rd, Forked River, NJ 08731 Phone: 609-971-0572
Dr. David Seth Hecht, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 933 Lacey Rd, Forked River, NJ 08731 Phone: 609-693-7171
Dr. Diana Epple, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 321 Lacey Rd, Forked River, NJ 08731 Phone: 609-693-9166 Fax: 609-693-0491
Dr. Joseph Loverde, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 102 Manchester Ave, Forked River, NJ 08731 Phone: 609-693-0917 Fax: 609-693-0445

Katelyn Campbell, DDS - Medicare Dentist in Forked River, NJ