| Dr Mitra Margaret Campbell, DO | |
|
6001 Kyle Pkwy, Kyle, TX 78640-6112 | |
| (512) 504-5125 | |
| Not Available |
| Full Name | Dr Mitra Margaret Campbell |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 6001 Kyle Pkwy, Kyle, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013105543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101017492 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | N7686 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cibola General Hospital | Grants, NM | Hospital |
| Roosevelt General Hospital | Portales, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fedko Emergency Physicians New Mexico, Llc | 4880934389 | 40 |
| Cibola General Hospital Corporation | 7113935891 | 62 |
| Entity Name | Cibola General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780677039 PECOS PAC ID: 7113935891 Enrollment ID: O20060323000127 |
| Entity Name | Fedko Emergency Physicians New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770047441 PECOS PAC ID: 4880934389 Enrollment ID: O20190320001146 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mitra Margaret Campbell, DO 3014a S 4th St, Austin, TX 78704-6218 Ph: (512) 636-5228 | Dr Mitra Margaret Campbell, DO 6001 Kyle Pkwy, Kyle, TX 78640-6112 Ph: (512) 504-5125 |
Jesse Steven Rodriguez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 135 Bunton Creek Rd, Suite 100, Kyle, TX 78640 Phone: 512-268-2068 | |
David Lawlor, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 | |
Humberto Salazar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 | |
Dr. Jonathan B Lopez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 | |
Shana Godfred-cato, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4100 Everett, Suite 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Gunnar Maximillian Reichenberger, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 Fax: 512-324-1017 |