Daniel Tres Campbell, PA is a medicare enrolled "Physician Assistant" provider in Jacksonville, Florida. His current practice location is
3411 Saint Nicholas Ave, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 546-7288.
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 | 3411 Saint Nicholas Ave, Jacksonville, 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: 07/24/2017
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 3411 Saint Nicholas Ave, Jacksonville, FL 32207-4652 Ph: (386) 546-7288 | Daniel Tres Campbell, PA 3411 Saint Nicholas Ave, Jacksonville, FL 32207-4652 Ph: (386) 546-7288 |
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