Andre Bruce Campbell, PA in Washington, DC - Medicare Physician Assistant

Andre Bruce Campbell, PA is a medicare enrolled "Physician Assistant - Medical" in Washington, District Of Columbia. His current practice location is 1310 Southern Ave Se, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 574-6000.

Andre Bruce Campbell is licensed to practice in * (Not Available) (license number ) 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 1013968437.

Contact Information

	Andre Bruce Campbell, PA
	1310 Southern Ave Se, Washington, DC 20032-4699
	(202) 574-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Andre Bruce Campbell
Gender	Male
Speciality	Physician Assistant - Medical
Location	1310 Southern Ave Se, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013968437
Provider Enumeration Date: 05/12/2006
Last Update Date: 03/24/2022

Medicare PECOS Information:

PECOS PAC ID: 3274507876
Enrollment ID: I20040820000173

Medical Identifiers

Medical identifiers for Andre Bruce Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013968437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA30030 (District Of Columbia)	Secondary
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Primary

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. Andre Bruce 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
Andre Bruce Campbell, PA 1200 Maryland Ave Ne, Washington, DC 20002-5336 Ph: (202) 399-4174	Andre Bruce Campbell, PA 1310 Southern Ave Se, Washington, DC 20032-4699 Ph: (202) 574-6000

Reviews and Comments

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Andre Bruce Campbell, PA - Medicare Physician Assistant in Washington, DC