Dr Jeremy Shane Campbell, OD in Russellville, AL

Dr Jeremy Shane Campbell, OD is a medicare enrolled "Optometrist" provider in Russellville, Alabama. His current practice location is 14378 Highway 43, Russellville, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 332-1355.

Dr Jeremy Shane Campbell is licensed to practice in Alabama (license number S-A80-TA-660) 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 1710088711.

Contact Information

	Dr Jeremy Shane Campbell, OD
	14378 Highway 43, Russellville, AL 35653-2568
	(256) 332-1355
	(256) 332-1315

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeremy Shane Campbell
Gender	Male
Speciality	Optometrist
Location	14378 Highway 43, Russellville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710088711
Provider Enumeration Date: 09/25/2006
Last Update Date: 10/27/2010

Medicare PECOS Information:

PECOS PAC ID: 4880638352
Enrollment ID: I20050615000512

Medical Identifiers

Medical identifiers for Dr Jeremy Shane Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710088711	NPI	-	NPPES
529930260	Medicaid	AL
009940024	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	S-A80-TA-660 (Alabama)	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. Dr Jeremy Shane Campbell allows following entities to bill medicare on his behalf.

Provider Name	Campbell Vision Center, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649371550 PECOS PAC ID: 6608876495 Enrollment ID: O20061229000091

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. Dr Jeremy Shane 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
Dr Jeremy Shane Campbell, OD 14378 Highway 43, Russellville, AL 35653-2568 Ph: (256) 332-1355	Dr Jeremy Shane Campbell, OD 14378 Highway 43, Russellville, AL 35653-2568 Ph: (256) 332-1355

Reviews and Comments

Optometrist in Russellville, AL

Dr. Taylor Grace Tackett, DOCTOR OF OPTOMETRY Optometrist Medicare: Medicare Enrolled Practice Location: 14378 Highway 43, Russellville, AL 35653 Phone: 256-332-1355
Dr. Wayne B Stevens, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15255 Highway 43, Russellville, AL 35653 Phone: 256-332-5440 Fax: 256-332-5402
Love Your Eyes, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15255 Highway 43, Russellville, AL 35653 Phone: 205-238-4466
Health Care For Life Al, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 523 Gandy St Ne, Ste A, Russellville, AL 35653 Phone: 205-208-9955 Fax: 256-332-5403
David W Mcgee, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13675 Hwy 43 South, Russellville, AL 35653 Phone: 256-332-1712 Fax: 256-332-1713
Eyedocs On Wheels Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15255 Hwy 43, Russellville, AL 35653 Phone: 256-332-5440 Fax: 256-332-5402
Dr. Sidney Greenberg, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 523 Gandy St Ne, Ste. A, Russellville, AL 35653 Phone: 205-208-9955 Fax: 888-561-0756

Dr Jeremy Shane Campbell, OD - Medicare Optometrist in Russellville, AL