Thomas J Campen, MD | |
410 Darling Ave, Waycross, GA 31501 | |
(912) 287-2513 | |
(912) 287-2532 |
Full Name | Thomas J Campen |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 46 Years |
Location | 410 Darling Ave, Waycross, Georgia |
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 |
---|---|---|---|
1497729834 | NPI | - | NPPES |
000424718Z | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 200100327 (North Carolina) | Secondary |
207W00000X | Ophthalmology | 32147 (Georgia) | Primary |
207P00000X | Emergency Medicine | 032147 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
Wayne Memorial Hospital | Jesup, GA | Hospital |
Dorminy Medical Center | Fitzgerald, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Erx Group Llc | 9335037571 | 14 |
Cooperative Healthcare Services, Inc. | 9830093640 | 175 |
Entity Name | Cooperative Healthcare Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
Entity Name | Wayne Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982828943 PECOS PAC ID: 6103926241 Enrollment ID: O20070703000148 |
Entity Name | Emergency Physicians Of Coffee County, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336431030 PECOS PAC ID: 1557549961 Enrollment ID: O20110706000343 |
Entity Name | Montgomery Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
Entity Name | Southland Emergency Medical Services Consolidated, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
Entity Name | Burke County Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053672527 PECOS PAC ID: 5193971422 Enrollment ID: O20130401000294 |
Entity Name | Erx Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Entity Name | Southeastern Hospitalist Physicians, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265853469 PECOS PAC ID: 9931337920 Enrollment ID: O20140121001401 |
Entity Name | Houston County Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
Entity Name | Southland Hawkinsville Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891100962 PECOS PAC ID: 2769600642 Enrollment ID: O20140908000486 |
Entity Name | Southland Cochran Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205241395 PECOS PAC ID: 9638398027 Enrollment ID: O20140917001247 |
Entity Name | Southland Taylor Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093120909 PECOS PAC ID: 6800015959 Enrollment ID: O20140922002775 |
Entity Name | Advanced Medical Resources Of Wayne County, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396140497 PECOS PAC ID: 9638498140 Enrollment ID: O20150505002320 |
Entity Name | Sound Physicians Emergency Medicine Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447784988 PECOS PAC ID: 0143592469 Enrollment ID: O20170822001999 |
Entity Name | Southland Evans Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730697418 PECOS PAC ID: 0143575852 Enrollment ID: O20180621000703 |
Entity Name | Southland Evans Hospitalist Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467960146 PECOS PAC ID: 5799036182 Enrollment ID: O20180925000479 |
Entity Name | Southland Dodge Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851958607 PECOS PAC ID: 8224360805 Enrollment ID: O20191031001338 |
Entity Name | Southland Dodge Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346894334 PECOS PAC ID: 7113259664 Enrollment ID: O20191101001455 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Campen, MD 410 Darling Ave, Waycross, GA 31501-5246 Ph: (912) 287-2513 | Thomas J Campen, MD 410 Darling Ave, Waycross, GA 31501 Ph: (912) 287-2513 |
Spurgeon William Clark Iii, M. D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 502 Isabella Street, Waycross, GA 31501 Phone: 912-285-2020 Fax: 912-285-8112 |