Mark Richard Campbell, MSPT, OCS, CMPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Telluride, Colorado. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Peak Performance Therapy Pc and his current practice location is
300 W. Colorado Ave, Unit 2b, Telluride, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 728-1888.
Mark Richard Campbell is licensed to practice in Colorado (license number 5562) 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 1215948633.
Physician's Profile
Full Name | Mark Richard Campbell |
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Gender | Male |
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Speciality | Physical Therapy |
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Experience | 29 Years |
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Location | 300 W. Colorado Ave, Telluride, Colorado |
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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:
- Mark Richard Campbell graduated from medical school in 1996
NPI Data:
- NPI Number: 1215948633
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 12/11/2015
Medicare PECOS Information:
- PECOS PAC ID: 2961316252
- Enrollment ID: I20040219000957
Medical Identifiers
Medical identifiers for Mark Richard Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215948633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 5562 (Colorado) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Peak Performance Therapy Pc | 5991619801 | 2 |
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. Mark Richard Campbell allows following entities to bill medicare on his behalf.
Entity Name | Peak Performance Therapy Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447263686 PECOS PAC ID: 5991619801 Enrollment ID: O20031114000634 |
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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. Mark Richard 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 |
Mark Richard Campbell, MSPT, OCS, CMPT Po Box 3178, Telluride, CO 81435-3178 Ph: (970) 728-1888 | Mark Richard Campbell, MSPT, OCS, CMPT 300 W. Colorado Ave, Unit 2b, Telluride, CO 81435-3178 Ph: (970) 728-1888 |
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