| Jordan Campbell, | |
|
3527 Fairmont Ave, Fairmont, WV 26554-3474 | |
| (681) 489-6221 | |
| Not Available |
| Full Name | Jordan Campbell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3527 Fairmont Ave, Fairmont, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225789464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2588 (West Virginia) | Primary |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Entity Name | St Joseph's Hospital of Buckhannon Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124005061 PECOS PAC ID: 6709828163 Enrollment ID: O20050525000839 |
| Entity Name | St Joseph's Hospital of Buckhannon Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124005061 PECOS PAC ID: 6709828163 Enrollment ID: O20230204000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Campbell, 3527 Fairmont Ave, Fairmont, WV 26554-3474 Ph: (681) 489-6221 | Jordan Campbell, 3527 Fairmont Ave, Fairmont, WV 26554-3474 Ph: (681) 489-6221 |
Ms. Rubina K Dasilva, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529 |
Stephen Mcqueen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-974-3297 Fax: 304-974-3299 |
Ann Louise Nicely, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 60 Roxbury Rd, Whitehall Medical, Pllc, Fairmont, WV 26554 Phone: 304-363-6600 Fax: 304-363-7700 |
Chantal D Agnew, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-534-7810 |
Nathan Arvon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-534-7810 Fax: 681-753-5801 |
Erica S Knotts, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 130 Kaufman Dr, Fairmont, WV 26554 Phone: 304-363-5633 Fax: 304-363-5712 |
Amy Gruber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 Locust Ave, Fairmont, WV 26554 Phone: 304-367-7541 |