Dr Michael Cory Campbell, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Honesdale, Pennsylvania. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2005 and has 19 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Wayne Memorial Community Health Centers and his current practice location is
600 Maple Ave, Honesdale, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 253-8219.
Dr Michael Cory Campbell is licensed to practice in Pennsylvania (license number MD434864) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669684460.
Physician's Profile
| Full Name | Dr Michael Cory Campbell |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 19 Years |
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| Location | 600 Maple Ave, Honesdale, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Cory Campbell attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2005
NPI Data:
- NPI Number: 1669684460
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 12/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 8820121569
- Enrollment ID: I20100803000062
Medical Identifiers
Medical identifiers for Dr Michael Cory Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669684460 | NPI | - | NPPES |
| 102403507 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 22599 (West Virginia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22599 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | MD434864 (Pennsylvania) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD434864 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wayne Memorial Community Health Centers | 3072598937 | 18 |
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 Michael Cory Campbell allows following entities to bill medicare on his behalf.
| Entity Name | Wayne Memorial Community Health Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952395121
PECOS PAC ID: 3072598937
Enrollment ID: O20040623001109 |
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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 Michael Cory 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 Michael Cory Campbell, MD
601 Park St,
Honesdale, PA 18431-1445
Ph: (570) 253-8226 | Dr Michael Cory Campbell, MD
600 Maple Ave,
Honesdale, PA 18431-1459
Ph: (570) 253-8219 |
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