Adam T Campbell, PA - Medicare Physician Assistant in Johnson City, NY

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Adam T Campbell, PA is a medicare enrolled "Physician Assistant" in Johnson City, New York. His current practice location is 33-57 Harrison St, Johnson City, New York. You can reach out to his office (for appointments etc.) via phone at (607) 763-6412.

Adam T Campbell is licensed to practice in New York (license number 012185) 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 1982883005.

Contact Information

Adam T Campbell, PA
33-57 Harrison St,
Johnson City, NY 13790-2107
(607) 763-6412
(607) 763-5854

Map and Direction




Provider's Profile

Full NameAdam T Campbell
GenderMale
SpecialityPhysician Assistant
Location33-57 Harrison St, Johnson City, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982883005
  • Provider Enumeration Date: 10/25/2007
  • Last Update Date: 12/28/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3173600541
  • Enrollment ID: I20130816000226

Medical Identifiers

Medical identifiers for Adam T Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982883005NPI-NPPES
03061878MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 012185 (New York)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. Adam T Campbell allows following entities to bill medicare on his behalf.
Entity NameSouth Shore Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669411856
PECOS PAC ID: 3678487444
Enrollment ID: O20040413000332
Entity NameCoastal Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932175684
PECOS PAC ID: 7113029257
Enrollment ID: O20070221000057

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. Adam T 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
Adam T Campbell, PA
346 Grand Ave,
Johnson City, NY 13790-2580

Ph: (607) 729-8156		Adam T Campbell, PA
33-57 Harrison St,
Johnson City, NY 13790-2107

Ph: (607) 763-6412

Reviews and Comments


Physician Assistant Nurses in Johnson City, NY

Camryn Perri,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    
Mrs. Mary L Barr, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 41 Arch Street, Johnson City, NY 13790
Phone: 607-729-2121    Fax: 607-798-7751
Mr. Justin Michael Eisenhauer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    
Nicholas John Tarnowski, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854
Katherine M Nichols, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-5494    Fax: 607-763-5116
Mr. Timothy D Keyes, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790
Phone: 607-763-6580    
Danielle Tchir Kappel, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854

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.