| James Matthew Campbell, PA-C | |
|
500 S 11th Ave, Pocatello, ID 83201-4835 | |
| (208) 232-6214 | |
| (801) 584-1215 |
| Full Name | James Matthew Campbell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 500 S 11th Ave, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144550724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-2242 (Idaho) | Primary |
| Entity Name | Mvh Bmc LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649699174 PECOS PAC ID: 2961791991 Enrollment ID: O20160608002399 |
| Entity Name | Cardiovascular Specialists of America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871190215 PECOS PAC ID: 1557773934 Enrollment ID: O20201208002277 |
| Mailing Address | Practice Location Address |
|---|---|
| James Matthew Campbell, PA-C 500 S 11th Ave, Pocatello, ID 83201-4835 Ph: (208) 232-6214 | James Matthew Campbell, PA-C 500 S 11th Ave, Pocatello, ID 83201-4835 Ph: (208) 232-6214 |
Alyssa M Woodbury, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1226 Fax: 208-239-3671 |
Shannon Alison Webb, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 |
Mrs. Helena M. B. Rizor, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1448 E Center St, Pocatello, ID 83201 Phone: 208-234-1300 Fax: 208-234-1333 |
Shelby J Worthington, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1224 Palmer Ln, Pocatello, ID 83201 Phone: 208-650-0677 |
Gabrielle Abernathy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave Ste 100, Pocatello, ID 83201 Phone: 208-232-6214 |
Shad Carl Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1151 Hospital Way Bldg A, Pocatello, ID 83201 Phone: 208-232-6616 Fax: 208-232-6618 |
Mr. Michael John Doyle, PA-C(PHYS ASST) Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8311, Pocatello, ID 83209 Phone: 208-282-2330 Fax: 208-282-4036 |