Clay I Campbell, MD | |
166 So 5th St, Montpelier, ID 83254-1557 | |
(208) 847-3847 | |
(208) 847-1620 |
Full Name | Clay I Campbell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 33 Years |
Location | 166 So 5th St, Montpelier, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952497810 | NPI | - | NPPES |
110040800 | Medicaid | WY | |
806820000 | Medicaid | ID | |
002743700 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 90015 (Montana) | Secondary |
207Q00000X | Family Medicine | M-6065 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kalispell Regional Medical Center | Kalispell, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kalispell Regional Medical Center Inc | 5294644381 | 354 |
Entity Name | Kalispell Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235333139 PECOS PAC ID: 5294644381 Enrollment ID: O20031122000142 |
Mailing Address | Practice Location Address |
---|---|
Clay I Campbell, MD 166 So 5th St, Montpelier, ID 83254 Ph: (208) 847-3847 | Clay I Campbell, MD 166 So 5th St, Montpelier, ID 83254-1557 Ph: (208) 847-3847 |
Dr. Larry David Bomsta, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 467 Washington St, Montpelier, ID 83254 Phone: 208-847-0072 Fax: 208-847-0077 | |
Trevor Dean Jacobson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 166 S 5th St, Montpelier, ID 83254 Phone: 208-847-1110 Fax: 208-847-0228 | |
Noall E Wolff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 360 N 2nd St, Montpelier, ID 83254 Phone: 208-847-5834 | |
Houston Reynolds, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 164 S 5th St, Montpelier, ID 83254 Phone: 208-514-2529 | |
Lance A Hansen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 Fax: 208-847-4336 | |
Dr. Peter Melvin Crane, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 |