| Lenell Angelo Campbell, PA-C | |
|
901 Macarthur Blvd, Munster, IN 46321-2901 | |
| (219) 836-1600 | |
| Not Available |
| Full Name | Lenell Angelo Campbell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 901 Macarthur Blvd, Munster, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629791843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10003794A (Indiana) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Express Care 4 Llc | 4284909615 | 64 |
| Midwest Express Care, Inc | 5193957595 | 31 |
| Entity Name | Nwi Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043596703 PECOS PAC ID: 7618142977 Enrollment ID: O20111214000990 |
| Entity Name | Midwest Express Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942642848 PECOS PAC ID: 5193957595 Enrollment ID: O20140417002077 |
| Entity Name | Midwest Express Care 4 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629502810 PECOS PAC ID: 4284909615 Enrollment ID: O20180131001651 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Lenell Angelo Campbell, PA-C 335 W 9th St Unit 1006, Indianapolis, IN 46202-3127 Ph: (219) 487-8850 | Lenell Angelo Campbell, PA-C 901 Macarthur Blvd, Munster, IN 46321-2901 Ph: (219) 836-1600 |
Stefani Tica, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9200 Calumet Ave # 203, Munster, IN 46321 Phone: 219-228-4200 |
Darcy Winston, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 |
Danielle Dominique Romero, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8135 Calumet Ave, Munster, IN 46321 Phone: 219-513-2000 |
Amy Berghoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9900 Columbia Ave, Munster, IN 46321 Phone: 219-924-3300 Fax: 219-934-2658 |
Michael A Krzyskowski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9900 Columbia Ave, Munster, IN 46321 Phone: 121-992-4330 Fax: 219-934-2658 |
Allyson Caisley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 801 Macarthur Blvd Ste 305, Munster, IN 46321 Phone: 219-703-2401 Fax: 219-703-6687 |
Reeya Brahmbhatt, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 701 Superior Ave, Munster, IN 46321 Phone: 219-922-4200 |