Jerald Dwight Campbell, CRNA - Medicare Nurse Anesthetist, Certified Registered in Emporia, KS

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Jerald Dwight Campbell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Emporia, Kansas. His current practice location is 1201 W 12th Ave, Emporia, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 343-6800.

Jerald Dwight Campbell is licensed to practice in Kansas (license number 54148) 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 1346212073.

Contact Information

Jerald Dwight Campbell, CRNA
1201 W 12th Ave,
Emporia, KS 66801-2531
(620) 343-6800
Not Available

Map and Direction




Provider's Profile

Full NameJerald Dwight Campbell
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1201 W 12th Ave, Emporia, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346212073
  • Provider Enumeration Date: 02/06/2006
  • Last Update Date: 05/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6204883549
  • Enrollment ID: I20050407001020

Medical Identifiers

Medical identifiers for Jerald Dwight Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346212073NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 54148 (Kansas)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. Jerald Dwight Campbell allows following entities to bill medicare on his behalf.
Entity NameEmporia Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013989748
PECOS PAC ID: 1456333509
Enrollment ID: O20040603000253

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. Jerald Dwight 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
Jerald Dwight Campbell, CRNA
1110 West 6th Ave,
Emporia, KS 66801-2531

Ph: (620) 342-8748		Jerald Dwight Campbell, CRNA
1201 W 12th Ave,
Emporia, KS 66801-2531

Ph: (620) 343-6800

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Emporia, KS

Renee Rachelle Sinclair, CRNA MAE
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1201 W 12th Ave, Emporia, KS 66801
Phone: 620-343-6800    
Robert Lyle Davis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1201 West 12th Avenue, Emporia, KS 66801
Phone: 620-343-6800    
Jeffry Alan Berry, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1201 W 12th Ave, Emporia, KS 66801
Phone: 620-343-6800    
Joseph Patrick Conroy, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1201 W 12th Ave, Emporia, KS 66801
Phone: 620-343-2800    

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.