| Anne E Campbell, | |
|
1809 S Main Street, Upland, IN 46989 | |
| (765) 660-7520 | |
| (765) 671-3514 |
| Full Name | Anne E Campbell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1809 S Main Street, Upland, Indiana |
| 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 |
|---|---|---|---|
| 1528559697 | NPI | - | NPPES |
| 300018710 | Medicaid | IN | |
| 00000199439 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 71008222A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71008222A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Muncie, IN | Home health agency |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
| Community Hospital Of Anderson And Madison County | Anderson, IN | Hospital |
| Reid Hospital & Health Care Services | Richmond, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Royale Internal Medicine Llc | 0345473153 | 6 |
| Us Therapy Inc | 6507893187 | 59 |
| Entity Name | Royale Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225450836 PECOS PAC ID: 0345473153 Enrollment ID: O20140501001808 |
| Mailing Address | Practice Location Address |
|---|---|
| Anne E Campbell, 330 N Wabash, Ste G20, Marion, IN 46952 Ph: (765) 660-7600 | Anne E Campbell, 1809 S Main Street, Upland, IN 46989 Ph: (765) 660-7520 |
Daryen Carothers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1809 S Main St, Upland, IN 46989 Phone: 765-618-7037 | |
Christa Ann Yeakle, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 S Main St Ste 100, Upland, IN 46989 Phone: 765-770-0650 Fax: 765-770-0652 |