Jesse R Campbell, MD | |
1575 N Santa Fe Ave, Edmond, OK 73003-3638 | |
(405) 285-0660 | |
(405) 285-0659 |
Full Name | Jesse R Campbell |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 29 Years |
Location | 1575 N Santa Fe Ave, Edmond, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982653721 | NPI | - | NPPES |
20229 | Other | OK | LICENSE |
100108140A | Medicaid | OK | |
25208 | Other | OK | OBNDD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20229 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Oklahoma Communities | 1153468921 | 502 |
Entity Name | Mercy Clinic Oklahoma Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Entity Name | Mercy Hospital Logan County, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
Mailing Address | Practice Location Address |
---|---|
Jesse R Campbell, MD 4401 W Memorial Rd, Suite 140, Oklahoma City, OK 73134-1785 Ph: (405) 755-1515 | Jesse R Campbell, MD 1575 N Santa Fe Ave, Edmond, OK 73003-3638 Ph: (405) 285-0660 |
Viorica Khalili, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 S Bryant Ave, Suite 202, Edmond, OK 73034 Phone: 405-340-4565 Fax: 405-340-4583 | |
Dr. Royce Lee Bargas, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3839 S Boulevard Ste 100, Edmond, OK 73013 Phone: 405-607-4445 | |
Dr. Brian Levy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 N Bryant Ave, C4, Edmond, OK 73034 Phone: 405-330-7606 Fax: 405-330-7607 | |
Rakesh Shrivastava, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 S Bryant Ave Ste 101, Edmond, OK 73034 Phone: 405-861-0004 Fax: 855-680-8890 | |
Dr. Craig W Carson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013 Phone: 405-844-4978 Fax: 405-844-0562 | |
Laurie Anne Orme, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E Waterloo Rd, Edmond, OK 73034 Phone: 405-715-2000 Fax: 405-715-2010 | |
Jeremy Brandon Moad, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 S Bryant Ave Ste 104, Edmond, OK 73034 Phone: 405-715-2022 Fax: 405-715-2905 |