K Coty Lee Campbell, PA-C - Medicare Physician Assistant in Mill Creek, WV

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K Coty Lee Campbell, PA-C is a medicare enrolled "Physician Assistant" in Mill Creek, West Virginia. His current practice location is Us Rt 219 & 250, Mill Creek, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 335-2050.

K Coty Lee Campbell is licensed to practice in West Virginia (license number 01848) 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 1356747133.

Contact Information

K Coty Lee Campbell, PA-C
Us Rt 219 & 250,
Mill Creek, WV 26280
(304) 335-2050
Not Available

Map and Direction




Provider's Profile

Full NameK Coty Lee Campbell
GenderMale
SpecialityPhysician Assistant
LocationUs Rt 219 & 250, Mill Creek, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356747133
  • Provider Enumeration Date: 11/06/2014
  • Last Update Date: 11/06/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2769706456
  • Enrollment ID: I20150129001223

Medical Identifiers

Medical identifiers for K Coty Lee Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356747133NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 01848 (West Virginia)Primary

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. K Coty Lee 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
K Coty Lee Campbell, PA-C
Po Box 247,
Mill Creek, WV 26280-0247

Ph: (304) 335-2050		K Coty Lee Campbell, PA-C
Us Rt 219 & 250,
Mill Creek, WV 26280

Ph: (304) 335-2050

Reviews and Comments


Physician Assistant Nurses in Mill Creek, WV

Mrs. Denise A. Leach, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Route 219/250, Mill Creek, WV 26280
Phone: 304-335-2050    Fax: 304-335-6158
Mr. Scott F Shomo, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 46 Town Center Plz Ste A, Mill Creek, WV 26280
Phone: 304-335-2050    
Mrs. Ashley E Varian-mauzy, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 46 Town Center Plz Ste A, Mill Creek, WV 26280
Phone: 304-335-2050    

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.