Kevin Campbell, FNP-BC is a medicare enrolled "Nurse Practitioner" in Pewee Valley, Kentucky. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Community Medical Associates Inc and his current practice location is
304 Mount Mercy Dr, Pewee Valley, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 241-8611.
Kevin Campbell is licensed to practice in Kentucky (license number 3009043) 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 1225426299.
Provider's Profile
| Full Name | Kevin Campbell |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 304 Mount Mercy Dr, Pewee Valley, Kentucky |
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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. |
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Medical Education and Training:
- Kevin Campbell graduated from nursing school in 2014
NPI Data:
- NPI Number: 1225426299
- Provider Enumeration Date: 12/29/2014
- Last Update Date: 07/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 1759606312
- Enrollment ID: I20150203000746
Medical Identifiers
Medical identifiers for Kevin Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225426299 | NPI | - | NPPES |
| 50083157 | Other | KY | PASSPORT |
| 7100326440 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 3009043 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Medical Associates Inc | 7012811284 | 1179 |
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. Kevin Campbell allows following entities to bill medicare on his behalf.
| Entity Name | Community Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656 |
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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. Kevin 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 |
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Kevin Campbell, FNP-BC
Po Box 776351,
Chicago, IL 60677-6351
Ph: (502) 588-9490 | Kevin Campbell, FNP-BC
304 Mount Mercy Dr,
Pewee Valley, KY 40056-8020
Ph: (502) 241-8611 |
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