Dr Tanner Ray Campbell, MD is a medicare enrolled "Orthopaedic Surgery - Pediatric Orthopaedic Surgery" physician in Aledo, Texas. His current practice location is
13340 Highland Hills Dr Ste 112, Aledo, Texas. You can reach out to his office (for appointments etc.) via phone at
(682) 303-3000.
Dr Tanner Ray Campbell is licensed to practice in Texas (license number V1421) 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 1821593096.
Physician's Profile
| Full Name | Dr Tanner Ray Campbell |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
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| Location | 13340 Highland Hills Dr Ste 112, Aledo, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821593096
- Provider Enumeration Date: 03/28/2018
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587912134
- Enrollment ID: I20240828002761
Medical Identifiers
Medical identifiers for Dr Tanner Ray Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821593096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | A186813 (California) | Secondary |
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | V1421 (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 Tanner Ray Campbell allows following entities to bill medicare on his behalf.
| Entity Name | Cook Childrens Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750369203
PECOS PAC ID: 7719884584
Enrollment ID: O20040128000800 |
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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 Tanner Ray 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 |
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Dr Tanner Ray Campbell, MD
Po Box 733784,
Dallas, TX 75373-3784
Ph: (682) 885-6483 | Dr Tanner Ray Campbell, MD
13340 Highland Hills Dr Ste 112,
Aledo, TX 76008-2000
Ph: (682) 303-3000 |
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