Jenni Marie Campbell, LICSW - Medicare Clinical Social Worker in Randolph, VT

Jenni Marie Campbell, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Randolph, Vermont. Her current practice location is 11 N Main St, Po Box G, Randolph, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 728-4466.

Jenni Marie Campbell is licensed to practice in Vermont (license number 089.0084108) 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 1912245143.

Contact Information

Jenni Marie Campbell, LICSW
11 N Main St, Po Box G,
Randolph, VT 05060-1126
(802) 728-4466
Not Available



Healthcare Provider's Profile

Full NameJenni Marie Campbell
GenderFemale
SpecialitySocial Worker - Clinical
Location11 N Main St, Randolph, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912245143
  • Provider Enumeration Date: 01/23/2013
  • Last Update Date: 01/23/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2668618018
  • Enrollment ID: I20130410000017

Medical Identifiers

Medical identifiers for Jenni Marie Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912245143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 089.0084108 (Vermont)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. Jenni Marie Campbell allows following entities to bill medicare on her behalf.
Entity NameClara Martin Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386710861
PECOS PAC ID: 1951395367
Enrollment ID: O20060315000608

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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. Jenni Marie 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 AddressPractice Location Address
Jenni Marie Campbell, LICSW
11 N Main St, Po Box G,
Randolph, VT 05060-1126

Ph: (802) 728-4466
Jenni Marie Campbell, LICSW
11 N Main St, Po Box G,
Randolph, VT 05060-1126

Ph: (802) 728-4466

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Social Worker in Randolph, VT

Nancy Copeland, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 11 S Main St, Randolph, VT 05060
Phone: 802-728-4466    Fax: 802-728-4197
Shana Kotelchuck, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 11 S Main St, Randolph, VT 05060
Phone: 802-728-4466    Fax: 802-728-4197
James Tautfest, RN
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 44 S Main St, Randolph, VT 05060
Phone: 802-728-7000    Fax: 802-728-2613
Alida Shriber, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 11 S Main St, Randolph, VT 05060
Phone: 802-728-4466    Fax: 802-728-4197
Margaret Hammond, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 11 S Main St, Randolph, VT 05060
Phone: 802-728-4466    Fax: 802-728-4197
Mrs. Nathalie C Sugarman, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 11 N Main St, Randolph, VT 05060
Phone: 802-728-4466    Fax: 802-728-4926
Joshua B Amses, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 11 N Main St, Randolph, VT 05060
Phone: 802-728-4466    Fax: 802-728-4197

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