Caroline Elizabeth Campbell, MD is a medicare enrolled "Pediatrics" physician in Lebanon, Missouri. Her current practice location is
341 Hospital Dr, Lebanon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 532-7850.
Caroline Elizabeth Campbell is licensed to practice in Missouri (license number 113713) 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 1548242894.
Physician's Profile
Full Name | Caroline Elizabeth Campbell |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 341 Hospital Dr, Lebanon, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548242894
- Provider Enumeration Date: 11/14/2005
- Last Update Date: 09/12/2011
Medicare PECOS Information:
- PECOS PAC ID: 7113289901
- Enrollment ID: I20180314001083
Medical Identifiers
Medical identifiers for Caroline Elizabeth Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548242894 | NPI | - | NPPES |
203854500 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 113713 (Missouri) | 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. Caroline Elizabeth Campbell allows following entities to bill medicare on her behalf.
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
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Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
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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. Caroline Elizabeth 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 |
Caroline Elizabeth Campbell, MD 341 Hospital Dr, Family Health Associates, P.c., Lebanon, MO 65536-4426 Ph: (417) 532-7850 | Caroline Elizabeth Campbell, MD 341 Hospital Dr, Lebanon, MO 65536-9217 Ph: (417) 532-7850 |
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