Therese J Campbell, PA is a
Physician Assistant - Medical based in Ottawa, Kansas. Therese J Campbell is licensed to practice in Kansas (license number 15-00718) and her current practice location is
1301 S Main St, Ottawa, Kansas. She can be reached at her office (for appointments etc.) via phone at
(785) 229-8200.
NPI number for Therese J Campbell is 1205823663 and her current mailing address is 1301 S Main St, Ottawa, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205823663.
Provider's Profile
| Full Name | Therese J Campbell |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
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| Location | 1301 S Main St, Ottawa, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205823663
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 08/15/2011
Medical Identifiers
Medical identifiers for Therese J Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205823663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 15-00718 (Kansas) | 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. Therese J Campbell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Therese J Campbell, PA
1301 S Main St,
Ottawa, KS 66067-3537
Ph: (785) 229-8200 | Therese J Campbell, PA
1301 S Main St,
Ottawa, KS 66067-3537
Ph: (785) 229-8200 |
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