| Mr Jared Scott Campbell, PA-C | |
|
1 Health Cir, Lexington, VA 24450-2448 | |
| (540) 458-3345 | |
| Not Available |
| Full Name | Mr Jared Scott Campbell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1 Health Cir, Lexington, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104923986 | NPI | - | NPPES |
| 1104923986 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002282 (Virginia) | Primary |
| 207P00000X | Emergency Medicine | 0110002282 (Virginia) | Secondary |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Entity Name | Carilion Emergency Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255602694 PECOS PAC ID: 7012820889 Enrollment ID: O20031107000339 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
| Entity Name | Carilion Rockbridge Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20040820000838 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1649423815 PECOS PAC ID: 9830096585 Enrollment ID: O20090320000373 |
| Entity Name | Wildwood Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013409721 PECOS PAC ID: 4789932385 Enrollment ID: O20180730001151 |
| Entity Name | Kingsford Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336631480 PECOS PAC ID: 3870841117 Enrollment ID: O20180802003435 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jared Scott Campbell, PA-C 1110 Potts Creek Rd, Covington, VA 24426-6908 Ph: (540) 969-8379 | Mr Jared Scott Campbell, PA-C 1 Health Cir, Lexington, VA 24450-2448 Ph: (540) 458-3345 |
Bryan James Carey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Health Cir, Lexington, VA 24450 Phone: 540-458-3300 Fax: 540-458-3456 |
Edina Janice Khan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25 Northridge Ln, Lexington, VA 24450 Phone: 540-464-8700 Fax: 540-464-1323 |
Grant Jeremy Cosgriff, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 304 Summit St, Lexington, VA 24450 Phone: 540-460-5094 |
Ryan Austin Tomlin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 108 Houston St Ste A, Lexington, VA 24450 Phone: 540-463-2181 |
Ann Burnham Henderson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Health Cir, Lexington, VA 24450 Phone: 540-458-3300 |
Kristen Sacchitella, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Northridge Ln, Lexington, VA 24450 Phone: 540-464-8700 |
Jennifer Plumley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Health Cir, Lexington, VA 24450 Phone: 540-784-3153 |