Dr Keith E Campbell, MD is a medicare enrolled "Phlebology" physician in Alcoa, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Tennessee Vein Center, Pllc and his current practice location is
431 Marilyn Ln, Alcoa, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 233-5858.
Dr Keith E Campbell is licensed to practice in Tennessee (license number MD0000037908) 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 1659331742.
Physician's Profile
| Full Name | Dr Keith E Campbell |
|---|
| Gender | Male |
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| Speciality | Vascular Surgery |
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| Experience | 28 Years |
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| Location | 431 Marilyn Ln, Alcoa, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Keith E Campbell attended and graduated from East Tennessee State University Quillen College Of Medicine in 1996
NPI Data:
- NPI Number: 1659331742
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163310798
- Enrollment ID: I20040305001053
Medical Identifiers
Medical identifiers for Dr Keith E Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659331742 | NPI | - | NPPES |
| P00297886 | Other | TN | MEIDCARE RAILROAD |
| 4071369 | Other | TN | BLUE CROSS BLUE SHIELD OF TENNESSEE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | MD0000037908 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | MD0000037908 (Tennessee) | Secondary |
| 202K00000X | Phlebology | MD0000037908 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tennessee Vein Center, Pllc | 5193910057 | 3 |
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 Keith E Campbell allows following entities to bill medicare on his behalf.
| Entity Name | Tennessee Vein Center, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598070807
PECOS PAC ID: 5193910057
Enrollment ID: O20101117000842 |
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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 Keith E 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 Keith E Campbell, MD
431 Marilyn Ln,
Alcoa, TN 37701-2118
Ph: (865) 233-5858 | Dr Keith E Campbell, MD
431 Marilyn Ln,
Alcoa, TN 37701-2118
Ph: (865) 233-5858 |
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