Dr Elaine F Campbell, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Conway, Massachusetts. Her current practice location is
269 Reeds Bridge Rd, Conway, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 336-3828.
Dr Elaine F Campbell is licensed to practice in Massachusetts (license number 7892) 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 1457661951.
Healthcare Provider's Profile
| Full Name | Dr Elaine F Campbell |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 269 Reeds Bridge Rd, Conway, Massachusetts |
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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: 1457661951
- Provider Enumeration Date: 10/18/2010
- Last Update Date: 10/18/2010
Medicare PECOS Information:
- PECOS PAC ID: 3375508435
- Enrollment ID: I20041130000943
Medical Identifiers
Medical identifiers for Dr Elaine F Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457661951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 7892 (Massachusetts) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 7892 (Massachusetts) | Secondary |
| 103TF0000X | Psychologist - Family | 7892 (Massachusetts) | Secondary |
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 Elaine F Campbell allows following entities to bill medicare on her behalf.
| Entity Name | River Valley Counseling Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851444616
PECOS PAC ID: 4981694999
Enrollment ID: O20040513000132 |
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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 Elaine F 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 |
|---|
Dr Elaine F Campbell, PSYD
269 Reeds Bridge Rd,
Conway, MA 01341-9713
Ph: (413) 336-3828 | Dr Elaine F Campbell, PSYD
269 Reeds Bridge Rd,
Conway, MA 01341-9713
Ph: (413) 336-3828 |
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