Jane Campbell, in Louisville, KY - Medicare Nurse Practitioner

Jane Campbell, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Louisville, Kentucky. Her current practice location is 4011 Gardiner Point Dr, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 451-5121.

Jane Campbell is licensed to practice in Kentucky (license number 3016655) 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 1154090454.

Contact Information

	Jane Campbell,
	4011 Gardiner Point Dr, Louisville, KY 40213-1988
	(502) 451-5121
	Not Available

Map and Direction

Provider's Profile

Full Name	Jane Campbell
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4011 Gardiner Point Dr, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154090454
Provider Enumeration Date: 09/09/2021
Last Update Date: 09/09/2021

Medicare PECOS Information:

PECOS PAC ID: 2466850235
Enrollment ID: I20211007003479

Medical Identifiers

Medical identifiers for Jane Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154090454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3016655 (Kentucky)	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. Jane Campbell allows following entities to bill medicare on her behalf.

Entity Name	Sullivan Psychiatric Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366879025 PECOS PAC ID: 4486913530 Enrollment ID: O20180117001656

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. Jane 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
Jane Campbell, 4223 Blossomwood Dr, Louisville, KY 40220-3603 Ph: (502) 548-0687	Jane Campbell, 4011 Gardiner Point Dr, Louisville, KY 40213-1988 Ph: (502) 451-5121

Reviews and Comments

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Jane Campbell, - Medicare Nurse Practitioner in Louisville, KY