Mr Clarence Campbell Iii, FNP is a medicare enrolled "Nurse Practitioner - Family" in Heath Springs, South Carolina. His current practice location is
209 S College St, Heath Springs, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 273-4018.
Mr Clarence Campbell Iii is licensed to practice in South Carolina (license number 20425) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811448194.
Provider's Profile
| Full Name | Mr Clarence Campbell Iii |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 209 S College St, Heath Springs, South Carolina |
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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: 1811448194
- Provider Enumeration Date: 10/20/2016
- Last Update Date: 02/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 0143505701
- Enrollment ID: I20170322000001
Medical Identifiers
Medical identifiers for Mr Clarence Campbell Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811448194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 20425 (South Carolina) | 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. Mr Clarence Campbell Iii allows following entities to bill medicare on his behalf.
| Entity Name | Metrolyna Health Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780761684
PECOS PAC ID: 6709935299
Enrollment ID: O20090512000228 |
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| Entity Name | Prisma Health Medical Group-midlands |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226 |
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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. Mr Clarence Campbell Iii 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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Mr Clarence Campbell Iii, FNP
209 S College St,
Heath Springs, SC 29058-9710
Ph: (803) 273-4018 | Mr Clarence Campbell Iii, FNP
209 S College St,
Heath Springs, SC 29058
Ph: (803) 273-4018 |
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