Stephanie Campbell, PMHNP-BC is a medicare enrolled "Behavior Technician" in Burnsville, Minnesota. Her current practice location is
1500 Mcandrews Rd W Ste 100, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 229-5349.
Stephanie Campbell is licensed to practice in * (Not Available) (license number ) 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 1821852674.
Provider's Profile
Full Name | Stephanie Campbell |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 1500 Mcandrews Rd W Ste 100, Burnsville, Minnesota |
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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: 1821852674
- Provider Enumeration Date: 02/12/2024
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779019765
- Enrollment ID: I20241213002724
Medical Identifiers
Medical identifiers for Stephanie Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821852674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11991 (Minnesota) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | 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. Stephanie Campbell allows following entities to bill medicare on her behalf.
Entity Name | Serenity Behavioral Health & Wellness, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750999546 PECOS PAC ID: 7810308517 Enrollment ID: O20201202000942 |
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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. Stephanie 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 |
Stephanie Campbell, PMHNP-BC 1500 Mcandrews Rd W Ste 100, Burnsville, MN 55337-4475 Ph: (952) 229-5349 | Stephanie Campbell, PMHNP-BC 1500 Mcandrews Rd W Ste 100, Burnsville, MN 55337-4475 Ph: (952) 229-5349 |
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