Mrs Shelley Jean Campbell, CNNP in Detroit, MI

Mrs Shelley Jean Campbell, CNNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Detroit, Michigan. Her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-0467.

Mrs Shelley Jean Campbell is licensed to practice in Michigan (license number 4704182158) 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 1962592220.

Contact Information

	Mrs Shelley Jean Campbell, CNNP
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 916-0467
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shelley Jean Campbell
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962592220
Provider Enumeration Date: 10/14/2006
Last Update Date: 10/02/2008

Medicare PECOS Information:

PECOS PAC ID: 3274600655
Enrollment ID: I20080926000409

Medical Identifiers

Medical identifiers for Mrs Shelley Jean Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962592220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	4704182158 (Michigan)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	4704182158 (Michigan)	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. Mrs Shelley Jean Campbell allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	Henry Ford Wyandotte Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457586646 PECOS PAC ID: 2264334499 Enrollment ID: O20040227000431

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. Mrs Shelley Jean 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
Mrs Shelley Jean Campbell, CNNP 1620 Argus Street, Lasalle, ONTARIO N9J 3-G5 Ph: (519) 734-7590	Mrs Shelley Jean Campbell, CNNP 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-0467

Reviews and Comments

Nurse Practitioner Nurses in Detroit, MI

Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822
Mikayla Spica, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Amber Marroquin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568
Elena M Darby, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4921 Fax: 313-343-7091
Mrs. Ines Hurley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3950 Beaubien St, Detroit, MI 48201 Phone: 313-745-5437
Nicole Woznicki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Chrysler Dr, Detroit, MI 48201 Phone: 313-966-7601
Kathleen Mclaughlin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3980 John R, Detroit, MI 48201 Phone: 888-362-2500

Mrs Shelley Jean Campbell, CNNP - Medicare Nurse Practitioner in Detroit, MI