Angela Marie Campbell, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Ponce Inlet, Florida. Her current practice location is
58 Bay Harbour Dr, Ponce Inlet, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 231-6300.
Angela Marie Campbell is licensed to practice in Washington (license number AP60748124) 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 1811265572.
Provider's Profile
| Full Name | Angela Marie Campbell |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 58 Bay Harbour Dr, Ponce Inlet, Florida |
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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: 1811265572
- Provider Enumeration Date: 12/09/2011
- Last Update Date: 08/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052579455
- Enrollment ID: I20120214000614
Medical Identifiers
Medical identifiers for Angela Marie Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811265572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | ARNP1558172 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | N360751709 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60748124 (Washington) | 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. Angela Marie Campbell allows following entities to bill medicare on her behalf.
| Entity Name | Gerald R Woodard Do Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114111440
PECOS PAC ID: 9436115052
Enrollment ID: O20041206000869 |
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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. Angela Marie 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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Angela Marie Campbell, NP-C
58 Bay Harbour Dr,
Ponce Inlet, FL 32127-7241
Ph: (386) 231-6300 | Angela Marie Campbell, NP-C
58 Bay Harbour Dr,
Ponce Inlet, FL 32127-7241
Ph: (386) 231-6300 |
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