Dr Jack P Campbell, MD in San Angelo, TX - Medicare Family Medicine

Dr Jack P Campbell, MD is a medicare enrolled "Family Medicine" physician in San Angelo, Texas. His current practice location is 2626 N Bryant Blvd, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 658-1511.

Dr Jack P Campbell is licensed to practice in Texas (license number F6501) 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 1104860741.

Contact Information

	Dr Jack P Campbell, MD
	2626 N Bryant Blvd, San Angelo, TX 76903
	(325) 658-1511
	(325) 481-2166

Map and Direction

Physician's Profile

Full Name	Dr Jack P Campbell
Gender	Male
Speciality	Family Medicine
Location	2626 N Bryant Blvd, San Angelo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104860741
Provider Enumeration Date: 06/15/2006
Last Update Date: 06/25/2018

Medicare PECOS Information:

PECOS PAC ID: 6507800208
Enrollment ID: I20091103000729

Medical Identifiers

Medical identifiers for Dr Jack P Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104860741	NPI	-	NPPES
8CC616	Other	TX	BCBS
047231802	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	F6501 (Texas)	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. Dr Jack P Campbell allows following entities to bill medicare on his behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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 Jack P 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 Jack P Campbell, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511	Dr Jack P Campbell, MD 2626 N Bryant Blvd, San Angelo, TX 76903 Ph: (325) 658-1511

Reviews and Comments

Family Medicine Doctors in San Angelo, TX

Irvin E. Zeitler Jr., DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511
Gary P Phillips, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-658-1511
Seth Sturdivant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-6410
Darrell T Herrington, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-949-9555
Christopher C Peterson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-245-4059 Fax: 325-245-4059
Mrs. Ashley Nicole Stovall, MSN, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-747-2660 Fax: 325-747-2665

Dr Jack P Campbell, MD - Medicare Family Medicine in San Angelo, TX