Carolyn Sue Campbell Ii, CNP is a medicare enrolled "Nurse Practitioner - Family" in Washington Ch, Ohio. Her current practice location is
1227 Us Rte 22 South West, Washington Ch, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 333-3310.
Carolyn Sue Campbell Ii is licensed to practice in Ohio (license number NP-04143) 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 1316978752.
Provider's Profile
Full Name | Carolyn Sue Campbell Ii |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1227 Us Rte 22 South West, Washington Ch, Ohio |
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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: 1316978752
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4486543360
- Enrollment ID: I20170822003834
Medical Identifiers
Medical identifiers for Carolyn Sue Campbell Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316978752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | NP-04143 (Ohio) | Primary |
363LF0000X | Nurse Practitioner - Family | NP-04143 (Ohio) | Primary |
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. Carolyn Sue Campbell Ii 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 |
Carolyn Sue Campbell Ii, CNP 1145 Storybrook Dr, Washington Court House, OH 43160-2602 Ph: (740) 335-3892 | Carolyn Sue Campbell Ii, CNP 1227 Us Rte 22 South West, Washington Ch, OH 43160 Ph: (740) 333-3310 |
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