Dennis Ray Campbell, MS | |
321 West Promenade, Mexico, MO 65251-1753 | |
(573) 582-1234 | |
(573) 582-1212 |
Full Name | Dennis Ray Campbell |
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Gender | Male |
Speciality | Psychologist |
Location | 321 West Promenade, Mexico, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336314582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 01380 (Missouri) | Primary |
Entity Name | Midamericare Limited Liability Company |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922322676 PECOS PAC ID: 4284768516 Enrollment ID: O20100823000111 |
Mailing Address | Practice Location Address |
---|---|
Dennis Ray Campbell, MS 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234 | Dennis Ray Campbell, MS 321 West Promenade, Mexico, MO 65251-1753 Ph: (573) 582-1234 |
Mr. Patrick Giles Finder, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 734 W Monroe St, Mexico, MO 65265 Phone: 573-582-0292 Fax: 573-581-6036 | |
Dr. Cara Rae Johnson, MSW, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 316 E Love St, Mexico, MO 65265 Phone: 217-653-6022 | |
Ms. Lisa K. Schriewer-clervi, PSYCHOLOGIST Psychologist Medicare: Medicare Enrolled Practice Location: 207 E Jackson St, Mexico, MO 65265 Phone: 573-581-3660 Fax: 573-581-3660 |