Mr Jerome Thomas Campbell Ii, PA-C in Great Lakes, IL

Mr Jerome Thomas Campbell Ii, PA-C is a medicare enrolled "Physician Assistant - Medical" in Great Lakes, Illinois. His current practice location is 3420 Illinois Street, Uss Tranquillity Medical Clinic, Great Lakes, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 680-6175.

Mr Jerome Thomas Campbell Ii 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 1770544835.

Contact Information

	Mr Jerome Thomas Campbell Ii, PA-C
	3420 Illinois Street, Uss Tranquillity Medical Clinic, Great Lakes, IL 60088-5230
	(847) 680-6175
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jerome Thomas Campbell Ii
Gender	Male
Speciality	Physician Assistant - Medical
Location	3420 Illinois Street, Great Lakes, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770544835
Provider Enumeration Date: 03/29/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9335388115
Enrollment ID: I20130627000263

Medical Identifiers

Medical identifiers for Mr Jerome Thomas Campbell Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770544835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Mr Jerome Thomas Campbell Ii 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 Jerome Thomas Campbell Ii, PA-C 410 North Green Bay Road, Apartment #1015, Waukegan, IL 60085 Ph: (847) 336-4228	Mr Jerome Thomas Campbell Ii, PA-C 3420 Illinois Street, Uss Tranquillity Medical Clinic, Great Lakes, IL 60088-5230 Ph: (847) 680-6175

Reviews and Comments

Physician Assistant Nurses in Great Lakes, IL

Mr. Warren K Kennedy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3420 Illinois St, Great Lakes, IL 60088 Phone: 847-688-2522
Adam Robert Dziedzic, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3410 Illinois St, Great Lakes, IL 60088 Phone: 224-610-8553
Mr. William Harreld Peterson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3420 Illinois St, Uss Tranquility Medical Clinic 1007, Great Lakes, IL 60088 Phone: 847-688-6755
Kevin O'connor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3420 Illinois St, Great Lakes, IL 60088 Phone: 847-688-6755
Carlos Julio Albarracin, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3001a Sixth Street, Great Lakes, IL 60088 Phone: 847-688-4560

Mr Jerome Thomas Campbell Ii, PA-C - Medicare Physician Assistant in Great Lakes, IL