Mr Shannon Lee Campbell, AGACNP-BC in Clyde, TX

Mr Shannon Lee Campbell, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Clyde, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hospitalist Physicians Of Indiana Pc and his current practice location is 102 Archer St, Clyde, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 893-1010.

Mr Shannon Lee Campbell is licensed to practice in Texas (license number AP135592) 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 1871004358.

Contact Information

	Mr Shannon Lee Campbell, AGACNP-BC
	102 Archer St, Clyde, TX 79510-4225
	(325) 893-1010
	(325) 893-1442

Map and Direction

Provider's Profile

Full Name	Mr Shannon Lee Campbell
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	102 Archer St, Clyde, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Shannon Lee Campbell attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2017

NPI Data:

NPI Number: 1871004358
Provider Enumeration Date: 10/23/2017
Last Update Date: 11/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2062775364
Enrollment ID: I20231102002750

Medical Identifiers

Medical identifiers for Mr Shannon Lee Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871004358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	AP135592 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
St Joseph Hospital	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospitalist Physicians Of Indiana Pc	1052795986	128

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 Shannon Lee Campbell allows following entities to bill medicare on his behalf.

Entity Name	Hospitalist Physicians Of Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306576277 PECOS PAC ID: 1052795986 Enrollment ID: O20220826000967

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 Shannon 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 Shannon Lee Campbell, AGACNP-BC 102 Archer St, Clyde, TX 79510-4225 Ph: (325) 893-1010	Mr Shannon Lee Campbell, AGACNP-BC 102 Archer St, Clyde, TX 79510-4225 Ph: (325) 893-1010

Reviews and Comments

Nurse Practitioner Nurses in Clyde, TX

Grissa Sandoy Hermoso, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 216 Kennedy St, Clyde, TX 79510 Phone: 325-386-5103
Kimberly Ranee East, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1712 N Access Rd, Clyde, TX 79510 Phone: 325-893-4042
Rosa L Best, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1712 N Access Rd, Clyde, TX 79510 Phone: 325-893-4010 Fax: 325-893-4035
Dolly Kay Barter, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1712 N Access Rd, Clyde, TX 79510 Phone: 325-893-4010 Fax: 325-893-4035
Mrs. Michelle Bufkin Escobedo, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1712 N Access Rd, Clyde, TX 79510 Phone: 325-893-4010 Fax: 325-893-4035
Erica Renee Preston, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1712 N Access Rd, Clyde, TX 79510 Phone: 325-893-4010
Martin D Gonzalez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1712 N Access Rd, Clyde, TX 79510 Phone: 325-893-4010 Fax: 325-893-4035

Mr Shannon Lee Campbell, AGACNP-BC - Medicare Nurse Practitioner in Clyde, TX