Shareen Nicole Campbell, PMHNP in Rosedale, MD

Shareen Nicole Campbell, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rosedale, Maryland. Her current practice location is 20 Paula Pl, Rosedale, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 680-0361.

Shareen Nicole Campbell is licensed to practice in Maryland (license number R196504) 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 1982299632.

Contact Information

	Shareen Nicole Campbell, PMHNP
	20 Paula Pl, Rosedale, MD 21237-4547
	(443) 680-0361
	Not Available

Map and Direction

Provider's Profile

Full Name	Shareen Nicole Campbell
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	20 Paula Pl, Rosedale, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982299632
Provider Enumeration Date: 03/04/2021
Last Update Date: 03/04/2021

Medicare PECOS Information:

PECOS PAC ID: 7214380633
Enrollment ID: I20240201001041

Medical Identifiers

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

Identifier	Type	State	Issuer
1982299632	NPI	-	NPPES
0000	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R196504 (Maryland)	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. Shareen Nicole Campbell allows following entities to bill medicare on her behalf.

Entity Name	Healthy Mind-healthy Body Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760250518 PECOS PAC ID: 6406209824 Enrollment ID: O20240201000484

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. Shareen Nicole 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
Shareen Nicole Campbell, PMHNP 9055 Chevrolet Dr Ste 205, Ellicott City, MD 21042-4000 Ph: (410) 465-5451	Shareen Nicole Campbell, PMHNP 20 Paula Pl, Rosedale, MD 21237-4547 Ph: (443) 680-0361

Reviews and Comments

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Shareen Nicole Campbell, PMHNP - Medicare Nurse Practitioner in Rosedale, MD