John Campbell, DO is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in Enterprise, Alabama. His current practice location is
805 E Lee St Ste C, Enterprise Clinic, Llc/dba Enterprise Express Care, Enterprise, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 348-8818.
John Campbell is licensed to practice in Alabama (license number DO-801) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669453767.
Physician's Profile
| Full Name | John Campbell |
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| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 805 E Lee St Ste C, Enterprise, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669453767
- Provider Enumeration Date: 11/07/2005
- Last Update Date: 04/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 7719945146
- Enrollment ID: I20041230000568
Medical Identifiers
Medical identifiers for John Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669453767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | DO-801 (Alabama) | Primary |
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 Campbell allows following entities to bill medicare on his behalf.
| Entity Name | Enterprise Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639491616 PECOS PAC ID: 1456488667 Enrollment ID: O20100420000715 |
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| Entity Name | Enterprise Urgent Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285180729 PECOS PAC ID: 1456647197 Enrollment ID: O20160907001338 |
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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. John 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 |
John Campbell, DO 805 E Lee St Ste C, Enterprise Clinic, Llc/dba Enterprise Express Care, Enterprise, AL 36330-2477 Ph: (334) 348-8818 | John Campbell, DO 805 E Lee St Ste C, Enterprise Clinic, Llc/dba Enterprise Express Care, Enterprise, AL 36330-2477 Ph: (334) 348-8818 |
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