Dr Preston Woodburn-camp, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kingwood, West Virginia. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Potomac Valley Hospital Of Wva, Inc and his current practice location is
150 Memorial Dr # A, Kingwood, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 329-1400.
Dr Preston Woodburn-camp is licensed to practice in West Virginia (license number 79305) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992299655.
Provider's Profile
| Full Name | Dr Preston Woodburn-camp |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 6 Years |
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| Location | 150 Memorial Dr # A, Kingwood, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Preston Woodburn-camp graduated from nursing school in 2018
NPI Data:
- NPI Number: 1992299655
- Provider Enumeration Date: 06/18/2018
- Last Update Date: 03/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355698812
- Enrollment ID: I20181119001195
Medical Identifiers
Medical identifiers for Dr Preston Woodburn-camp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992299655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R232184 (Maryland) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 79305 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Potomac Valley Hospital Of Wva, Inc | 8123917788 | 40 |
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. Dr Preston Woodburn-camp allows following entities to bill medicare on his behalf.
| Entity Name | Potomac Valley Hospital Of Wva, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316054919
PECOS PAC ID: 8123917788
Enrollment ID: O20040311001344 |
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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. Dr Preston Woodburn-camp 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 |
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Dr Preston Woodburn-camp,
150 Memorial Dr # A,
Kingwood, WV 26537-1141
Ph: (304) 329-1400 | Dr Preston Woodburn-camp,
150 Memorial Dr # A,
Kingwood, WV 26537-1141
Ph: (304) 329-1400 |
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