Mr Paul Victor Campbell Iii Iii, AGNP in Palm Coast, FL

Mr Paul Victor Campbell Iii Iii, AGNP is a medicare enrolled "Nurse Practitioner" in Palm Coast, Florida. His current practice location is 800 Belle Terre Pkwy # 200-183, Palm Coast, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 864-9725.

Mr Paul Victor Campbell Iii Iii is licensed to practice in Florida (license number 11027628) 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 1770263261.

Contact Information

	Mr Paul Victor Campbell Iii Iii, AGNP
	800 Belle Terre Pkwy # 200-183, Palm Coast, FL 32164-2314
	(386) 864-9725
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Paul Victor Campbell Iii Iii
Gender	Male
Speciality	Nurse Practitioner
Location	800 Belle Terre Pkwy # 200-183, Palm Coast, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770263261
Provider Enumeration Date: 07/20/2023
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1355598467
Enrollment ID: I20240201004570

Medical Identifiers

Medical identifiers for Mr Paul Victor Campbell Iii Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770263261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11027628 (Florida)	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 Paul Victor Campbell Iii Iii allows following entities to bill medicare on his behalf.

Entity Name	Heart Of The Villages Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659671774 PECOS PAC ID: 1850560954 Enrollment ID: O20110805000723

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 Paul Victor Campbell Iii Iii 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 Paul Victor Campbell Iii Iii, AGNP 800 Belle Terre Pkwy # 200-183, Palm Coast, FL 32164-2314 Ph: (386) 864-9725	Mr Paul Victor Campbell Iii Iii, AGNP 800 Belle Terre Pkwy # 200-183, Palm Coast, FL 32164-2314 Ph: (386) 864-9725

Reviews and Comments

Nurse Practitioner Nurses in Palm Coast, FL

Lyne Emilie Homeus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Waywell Pl, Palm Coast, FL 32164 Phone: 386-530-1708
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373
Amanda Vera, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811
Traci Serrano, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720
Mrs. Venus M. Valliere, ARNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-5505 Fax: 386-246-3960

Mr Paul Victor Campbell Iii Iii, AGNP - Medicare Nurse Practitioner in Palm Coast, FL