Natalie Olivia Campbell, DO is a medicare enrolled "Family Medicine" physician in Sneedville, Tennessee. Her current practice location is
1519 Main St, Sneedville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 733-5070.
Natalie Olivia Campbell is licensed to practice in Tennessee (license number 4328) 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 1770076499.
Physician's Profile
| Full Name | Natalie Olivia Campbell |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1519 Main St, Sneedville, Tennessee |
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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: 1770076499
- Provider Enumeration Date: 06/07/2018
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820408263
- Enrollment ID: I20210812003673
Medical Identifiers
Medical identifiers for Natalie Olivia Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770076499 | NPI | - | NPPES |
| Q068025 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 86961 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 4328 (Tennessee) | 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. Natalie Olivia Campbell allows following entities to bill medicare on her behalf.
| Entity Name | Wellmont Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053340158
PECOS PAC ID: 2567360704
Enrollment ID: O20031223000853 |
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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. Natalie Olivia 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 |
|---|
Natalie Olivia Campbell, DO
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192
Ph: (423) 302-6565 | Natalie Olivia Campbell, DO
1519 Main St,
Sneedville, TN 37869-3657
Ph: (423) 733-5070 |
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