Individual ProviderShannon CampbellPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address19 Davis Ave Fl 4, Neptune, NJ 07753-4488(732) 776-4770(732) 807-0877PECOS EnrollmentBased on the most recent information from CMS, provider Shannon Campbell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1568081248Provider TypeIndividualFull NameCampbell, ShannonGenderFemaleSole ProprietorNoEnumeration Date4/13/2020Last Updated12/31/2025Contact InformationPractice LocationPractice Address19 Davis Ave Fl 4, Neptune, NJ 07753-4488Phone(732) 776-4770Fax(732) 776-3763Mailing LocationMailing Address331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792Phone(732) 807-0877Fax(201) 751-1680Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00841700New JerseyCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerNew York