Dr Richard D Campbell, MD | |
1620 Prince Ave, Athens, GA 30606-6008 | |
(770) 868-5644 | |
(770) 868-5650 |
Full Name | Dr Richard D Campbell |
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Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 1620 Prince Ave, Athens, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932180759 | NPI | - | NPPES |
0683833 | Other | GA | CIGNA |
800610 | Other | GA | BLUE CROSS |
230000000 | Other | GA | US DEPT. OF LABOR W/C |
464731 | Other | GA | WELLCARE |
P00631288 | Other | GA | RAILROAD MEDICARE |
000906672 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 048030 (Georgia) | Primary |
Entity Name | Pain Management & Wellness Centers Of Georgia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386903672 PECOS PAC ID: 3375775208 Enrollment ID: O20140408001751 |
Mailing Address | Practice Location Address |
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Dr Richard D Campbell, MD Po Box 80883, Athens, GA 30608-0883 Ph: (706) 549-8114 | Dr Richard D Campbell, MD 1620 Prince Ave, Athens, GA 30606-6008 Ph: (770) 868-5644 |
Dr. Reginald Strother, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 1620 Prince Ave, Athens, GA 30606 Phone: 706-549-8114 Fax: 706-549-0151 | |
Mark A Ellis, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1765 Old West Broad St, Bldg 1 Ste 200, Athens, GA 30606 Phone: 706-208-0451 Fax: 706-208-0147 | |
Dr. Daniel Stephen Thomas, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 King Ave, Athens, GA 30606 Phone: 706-425-2400 Fax: 706-425-2410 |