Mr Benjamin Davis Campbell, MSN, CRNP in Birmingham, AL

Mr Benjamin Davis Campbell, MSN, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Birmingham, Alabama. His current practice location is 619 19th St S, S517 Spain Wallace Building, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 934-8355.

Mr Benjamin Davis Campbell is licensed to practice in Alabama (license number 1-044442) 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 1962658898.

Contact Information

	Mr Benjamin Davis Campbell, MSN, CRNP
	619 19th St S, S517 Spain Wallace Building, Birmingham, AL 35249-1900
	(205) 934-8355
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Benjamin Davis Campbell
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	619 19th St S, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962658898
Provider Enumeration Date: 08/12/2008
Last Update Date: 08/12/2008

Medicare PECOS Information:

PECOS PAC ID: 6103045521
Enrollment ID: I20140917002467

Medical Identifiers

Medical identifiers for Mr Benjamin Davis Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962658898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1-044442 (Alabama)	Primary

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. Mr Benjamin Davis Campbell allows following entities to bill medicare on his behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

Entity Name	University Of Alabama At Birmingham
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184738478 PECOS PAC ID: 3779487970 Enrollment ID: O20031120000323

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. Mr Benjamin Davis 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
Mr Benjamin Davis Campbell, MSN, CRNP 619 19th St S, S517 Spain Wallace Building, Birmingham, AL 35249-1900 Ph: (205) 934-8355	Mr Benjamin Davis Campbell, MSN, CRNP 619 19th St S, S517 Spain Wallace Building, Birmingham, AL 35249-1900 Ph: (205) 934-8355

Reviews and Comments

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Mr Benjamin Davis Campbell, MSN, CRNP - Medicare Nurse Practitioner in Birmingham, AL