Dr Luis Campos-de-la-borbolla, MD in Memphis, TN

Dr Luis Campos-de-la-borbolla, MD is a medicare enrolled "Surgery" physician in Memphis, Tennessee. His current practice location is 1265 Union Ave, Suite 184, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 516-0929.

Dr Luis Campos-de-la-borbolla is licensed to practice in Tennessee (license number 44107) 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 1487677548.

Contact Information

	Dr Luis Campos-de-la-borbolla, MD
	1265 Union Ave, Suite 184, Memphis, TN 38104-3415
	(901) 516-0929
	(901) 516-8993

Map and Direction

Physician's Profile

Full Name	Dr Luis Campos-de-la-borbolla
Gender	Male
Speciality	Surgery
Location	1265 Union Ave, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487677548
Provider Enumeration Date: 07/26/2006
Last Update Date: 08/04/2014

Medicare PECOS Information:

PECOS PAC ID: 0244121085
Enrollment ID: I20080826000739

Medical Identifiers

Medical identifiers for Dr Luis Campos-de-la-borbolla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487677548	NPI	-	NPPES
00873097	Medicaid	MS
Q002436	Medicaid	TN
4355465	Other	TN	BCBS
170500001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	D0060736 (Maryland)	Secondary
208600000X	Surgery	44107 (Tennessee)	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 Luis Campos-de-la-borbolla allows following entities to bill medicare on his behalf.

Entity Name	Saint Thomas Medical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470

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 Luis Campos-de-la-borbolla 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 Luis Campos-de-la-borbolla, MD Po Box 1000, Dept # 457, Memphis, TN 38148-0001 Ph: (901) 516-0929	Dr Luis Campos-de-la-borbolla, MD 1265 Union Ave, Suite 184, Memphis, TN 38104-3415 Ph: (901) 516-0929

Reviews and Comments

Surgery Doctors in Memphis, TN

Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525
William Leslie Hickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602
Dr. Albert Joseph Grobmyer Iii, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3175 Lenox Park Blvd, Suite 309, Memphis, TN 38115 Phone: 901-273-2600 Fax: 901-761-3786
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203
Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969

Dr Luis Campos-de-la-borbolla, MD - Medicare Surgery in Memphis, TN