Daniel Tres Campbell, PA is a medicare enrolled "Physician Assistant" provider in Deland, Florida. His current practice location is
809 Cypress Oak Cir, Deland, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 209-9280.
Daniel Tres Campbell is licensed to practice in Florida (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396268058.
Healthcare Provider's Profile
Full Name | Daniel Tres Campbell |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 809 Cypress Oak Cir, Deland, Florida |
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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: 1396268058
- Provider Enumeration Date: 07/24/2017
- Last Update Date: 11/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749614543
- Enrollment ID: I20200103001159
Medical Identifiers
Medical identifiers for Daniel Tres Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396268058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | ND6497 (Florida) | Secondary |
363A00000X | Physician Assistant | (Florida) | Primary |
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. Daniel Tres 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 |
Daniel Tres Campbell, PA 809 Cypress Oak Cir, Deland, FL 32720-2659 Ph: (904) 209-9280 | Daniel Tres Campbell, PA 809 Cypress Oak Cir, Deland, FL 32720-2659 Ph: (904) 209-9280 |
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