Dr Charlaya D Campbell, MD is a medicare enrolled "Pediatrics" physician in Barnesville, Georgia. Her current practice location is
100 Highway 18 W, Suite 201, Barnesville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 359-1700.
Dr Charlaya D Campbell is licensed to practice in Georgia (license number 64905) 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 1568636322.
Physician's Profile
| Full Name | Dr Charlaya D Campbell |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 100 Highway 18 W, Barnesville, Georgia |
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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: 1568636322
- Provider Enumeration Date: 04/14/2008
- Last Update Date: 10/02/2013
Medicare PECOS Information:
- PECOS PAC ID: 1557783693
- Enrollment ID: I20200618003104
Medical Identifiers
Medical identifiers for Dr Charlaya D Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568636322 | NPI | - | NPPES |
| 003100702B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 64905 (Georgia) | 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. Dr Charlaya D Campbell allows following entities to bill medicare on her behalf.
| Entity Name | Zoe Center For Pediatric & Adolescent Health, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053684936
PECOS PAC ID: 3678903820
Enrollment ID: O20200430002123 |
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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. Dr Charlaya D 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 |
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Dr Charlaya D Campbell, MD
210 Hannahs Mill Rd,
Thomaston, GA 30286-2801
Ph: (706) 938-0990 | Dr Charlaya D Campbell, MD
100 Highway 18 W, Suite 201,
Barnesville, GA 30204-1171
Ph: (678) 359-1700 |
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