Mary Ann Campbell, DDS in La Crosse, WI - Medicare Dentist Provider

Mary Ann Campbell, DDS is a medicare enrolled "Dentist - Endodontics" provider in La Crosse, Wisconsin. Her current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 782-7300.

Mary Ann Campbell is licensed to practice in Wisconsin (license number 3855) 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 1972507572.

Contact Information

	Mary Ann Campbell, DDS
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Ann Campbell
Gender	Female
Speciality	Dentist - Endodontics
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972507572
Provider Enumeration Date: 06/10/2005
Last Update Date: 08/04/2016

Medicare PECOS Information:

PECOS PAC ID: 7315085016
Enrollment ID: I20091118000320

Medical Identifiers

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

Identifier	Type	State	Issuer
1972507572	NPI	-	NPPES
33734200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	3855 (Wisconsin)	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. Mary Ann Campbell allows following entities to bill medicare on her behalf.

Entity Name	Gundersen Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139

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. Mary Ann 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
Mary Ann Campbell, DDS 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Mary Ann Campbell, DDS 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Dentist in La Crosse, WI

Dr. Gregory Cochrane, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3143 State Rd, Suite 100, La Crosse, WI 54601 Phone: 608-788-0030
Dr. Heather Rose Reyerson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2505 Loomis St, La Crosse, WI 54603 Phone: 608-779-4313
Ellyn M English, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. Holly J Grimslid, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Main St, La Crosse, WI 54601 Phone: 608-782-6778
Zachariah Scruggs, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2830 Darling Ct, La Crosse, WI 54601 Phone: 608-783-7330
Dr. Steven Allan Schmidt, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3143 State Rd, Suite 203, La Crosse, WI 54601 Phone: 608-788-3838 Fax: 608-788-9862
Dr. Yu Wen Lin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Mary Ann Campbell, DDS - Medicare Dentist in La Crosse, WI