Dr Alan Carl Campbell, PHD is a medicare enrolled "Marriage & Family Therapist" provider in Stillwater, Oklahoma. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Stillwater Medical Center Authority and his current practice location is
2222 W 12th Ave, Stillwater, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 372-1988.
Dr Alan Carl Campbell is licensed to practice in Oklahoma (license number 652) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083716641.
Healthcare Provider's Profile
| Full Name | Dr Alan Carl Campbell |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 35 Years |
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| Location | 2222 W 12th Ave, Stillwater, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Alan Carl Campbell graduated from medical school in 1989
NPI Data:
- NPI Number: 1083716641
- Provider Enumeration Date: 09/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840475794
- Enrollment ID: I20110419000916
Medical Identifiers
Medical identifiers for Dr Alan Carl Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083716641 | NPI | - | NPPES |
| 100841380A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC1900X | Psychologist - Counseling | 589 (Oklahoma) | Primary |
| 106H00000X | Marriage & Family Therapist | 652 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Stillwater Medical Center Authority | 2365353794 | 131 |
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. Dr Alan Carl Campbell allows following entities to bill medicare on his behalf.
| Entity Name | Stillwater Medical Center Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558377135
PECOS PAC ID: 2365353794
Enrollment ID: O20040525001304 |
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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. Dr Alan Carl 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 |
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Dr Alan Carl Campbell, PHD
2222 W 12th Ave,
Stillwater, OK 74074-5154
Ph: (405) 372-1988 | Dr Alan Carl Campbell, PHD
2222 W 12th Ave,
Stillwater, OK 74074-5154
Ph: (405) 372-1988 |
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