Jerald Dwight Campbell, CRNA | |
1201 W 12th Ave, Emporia, KS 66801-2531 | |
(620) 343-6800 | |
Not Available |
Full Name | Jerald Dwight Campbell |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 47 Years |
Location | 1201 W 12th Ave, Emporia, Kansas |
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 |
---|---|---|---|
1346212073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 54148 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Newman Regional Health | Emporia, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emporia Anesthesia Associates Pa | 1456333509 | 5 |
Newman Memorial County Hospital | 5193638526 | 47 |
Entity Name | Newman Memorial County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114085594 PECOS PAC ID: 5193638526 Enrollment ID: O20040309001044 |
Entity Name | Emporia Anesthesia Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013989748 PECOS PAC ID: 1456333509 Enrollment ID: O20040603000253 |
Mailing Address | Practice Location Address |
---|---|
Jerald Dwight Campbell, CRNA 1110 West 6th Ave, Emporia, KS 66801-2531 Ph: (620) 342-8748 | Jerald Dwight Campbell, CRNA 1201 W 12th Ave, Emporia, KS 66801-2531 Ph: (620) 343-6800 |
Renee Rachelle Sinclair, CRNA MAE Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 | |
Robert Lyle Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 West 12th Avenue, Emporia, KS 66801 Phone: 620-343-6800 | |
Jeffry Alan Berry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 | |
Joseph Patrick Conroy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-2800 |