Mr Corey Lee Campbell, PA-C is a medicare enrolled "Physician Assistant" in Pineville, Kentucky. His current practice location is
526 Round Ridge Rd, Pineville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 409-6154.
Mr Corey Lee Campbell is licensed to practice in Kentucky (license number TC162) 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 1851060172.
Provider's Profile
Full Name | Mr Corey Lee Campbell |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 526 Round Ridge Rd, Pineville, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851060172
- Provider Enumeration Date: 09/09/2021
- Last Update Date: 01/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062804875
- Enrollment ID: I20220127001527
Medical Identifiers
Medical identifiers for Mr Corey Lee Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851060172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | TC162 (Kentucky) | 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. Mr Corey Lee 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 Corey Lee Campbell, PA-C 526 Round Ridge Rd, Pineville, KY 40977-7008 Ph: (859) 409-6154 | Mr Corey Lee Campbell, PA-C 526 Round Ridge Rd, Pineville, KY 40977-7008 Ph: (859) 409-6154 |
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