John Kent Campbell, FNP - Medicare Nurse Practitioner in Tyler, TX

John Kent Campbell, FNP is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Oliver Street 5.01(a) Inc and his current practice location is 1367 Dominion Plz, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 534-6200.

John Kent Campbell is licensed to practice in Texas (license number AP111386) 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 1043252174.

Contact Information

John Kent Campbell, FNP
1367 Dominion Plz,
Tyler, TX 75703-1013
(903) 534-6200
Not Available

Map and Direction




Provider's Profile

Full NameJohn Kent Campbell
GenderMale
SpecialityNurse Practitioner
Experience23 Years
Location1367 Dominion Plz, Tyler, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Kent Campbell graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1043252174
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 08/04/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2668478553
  • Enrollment ID: I20061017000404

Medical Identifiers

Medical identifiers for John Kent Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043252174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP111386 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oliver Street 5.01(a) Inc0042464125141

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. John Kent Campbell allows following entities to bill medicare on his behalf.
Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189

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. John Kent 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 AddressPractice Location Address
John Kent Campbell, FNP
1367 Dominion Plaza,
Tyler, TX 75701

Ph: (903) 534-6200
John Kent Campbell, FNP
1367 Dominion Plz,
Tyler, TX 75703-1013

Ph: (903) 534-6200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.