Dr Michael Robert Campoli, MD, PHD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Wyoming, Minnesota. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice United Skin Specialists Ltd, Fairview Express Care and his current practice location is
5200 Fairview Blvd, Wyoming, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 982-7600.
Dr Michael Robert Campoli is licensed to practice in Minnesota (license number 54061) 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 1730206541.
Physician's Profile
Full Name | Dr Michael Robert Campoli |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 19 Years |
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Location | 5200 Fairview Blvd, Wyoming, Minnesota |
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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. |
Medical Education and Training:
- Dr Michael Robert Campoli attended and graduated from State University Of New York At Buffalo School Of Medicine in 2006
NPI Data:
- NPI Number: 1730206541
- Provider Enumeration Date: 03/25/2007
- Last Update Date: 06/16/2012
Medicare PECOS Information:
- PECOS PAC ID: 6709055684
- Enrollment ID: I20110810000321
Medical Identifiers
Medical identifiers for Dr Michael Robert Campoli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730206541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 54061 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
United Skin Specialists Ltd | 0446558993 | 10 |
Fairview Express Care | 3375645179 | 1537 |
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 Robert Campoli allows following entities to bill medicare on his behalf.
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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Entity Name | Fairview Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
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Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
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Entity Name | United Skin Specialists Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861861759 PECOS PAC ID: 0446558993 Enrollment ID: O20160415001552 |
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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 Robert Campoli 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 Robert Campoli, MD, PHD 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7600 | Dr Michael Robert Campoli, MD, PHD 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7600 |
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