Jacob Wade Campbell, in Greer, SC - Medicare Physical Therapist Provider

Jacob Wade Campbell, is a medicare enrolled "Physical Therapist" provider in Greer, South Carolina. His current practice location is 320 Tandem Dr, Greer, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 655-7757.

Jacob Wade Campbell is licensed to practice in South Carolina (license number 11522) 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 1821719873.

Contact Information

	Jacob Wade Campbell,
	320 Tandem Dr, Greer, SC 29650-4726
	(864) 655-7757
	(864) 655-7747

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Wade Campbell
Gender	Male
Speciality	Physical Therapist
Location	320 Tandem Dr, Greer, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821719873
Provider Enumeration Date: 09/08/2022
Last Update Date: 12/14/2022

Medicare PECOS Information:

PECOS PAC ID: 3779956974
Enrollment ID: I20230309001738

Medical Identifiers

Medical identifiers for Jacob Wade Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821719873	NPI	-	NPPES
11522	Other	SC	PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11522 (South Carolina)	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. Jacob Wade Campbell allows following entities to bill medicare on his behalf.

Provider Name	Magnolia Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386629558 PECOS PAC ID: 3779504105 Enrollment ID: O20051214000026

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. Jacob Wade 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
Jacob Wade Campbell, 8808 Highway 81 S, Starr, SC 29684-9413 Ph: () -	Jacob Wade Campbell, 320 Tandem Dr, Greer, SC 29650-4726 Ph: (864) 655-7757

Reviews and Comments

Physical Therapist in Greer, SC

Marc J Pelletier, LPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 713 W Wade Hampton Blvd, Greer, SC 29650 Phone: 864-479-6084 Fax: 864-479-6091
Sarah Haynes, Physical Therapist Medicare: Medicare Enrolled Practice Location: 623 Tanager Ct, Greer, SC 29650 Phone: 864-416-1355 Fax: 949-577-4430
Elizabeth H Petry-johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Executive Dr, Greer, SC 29651 Phone: 864-848-6339 Fax: 864-848-7203
Emily Hartsuiker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 140 Executive Dr, Greer, SC 29651 Phone: 864-801-8706 Fax: 864-848-7203
Pt Solutions Of Acworth Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1488 W Wade Hampton Blvd, Greer, SC 29650 Phone: 864-469-0562 Fax: 864-469-0564
Bryan Isbell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Executive Dr, Greer, SC 29651 Phone: 864-801-8706
Chris Allen Connor, MSR PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 420 The Pkwy, Suite D, Greer, SC 29650 Phone: 864-879-7757 Fax: 864-879-4626

Jacob Wade Campbell, - Medicare Physical Therapist in Greer, SC