Mr Jerold Benjamin Campbell, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mena, AR

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Mr Jerold Benjamin Campbell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mena, Arkansas. He graduated from nursing school in 1985 and has 41 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Rural Health Pain Management Llc and his current practice location is 311 Morrow St N, Mena, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 394-6100.

Mr Jerold Benjamin Campbell is licensed to practice in Arkansas (license number C00491) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417943697.

Contact Information

Mr Jerold Benjamin Campbell, CRNA
311 Morrow St N,
Mena, AR 71953-2516
(479) 394-6100
Not Available

Map and Direction




Provider's Profile

Full NameMr Jerold Benjamin Campbell
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience41 Years
Location311 Morrow St N, Mena, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jerold Benjamin Campbell graduated from nursing school in 1985
  NPI Data:
  • NPI Number: 1417943697
  • Provider Enumeration Date: 09/23/2005
  • Last Update Date: 06/10/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7911970900
  • Enrollment ID: I20040817001403

Medical Identifiers

Medical identifiers for Mr Jerold Benjamin Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417943697NPI-NPPES
113755001MedicaidAR
430080341OtherRR MEDICARE GROUP CK6327
59312OtherARAR BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered C00491 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Arkansas Methodist Medical CenterParagould, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rural Health Pain Management Llc892141034132

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. Mr Jerold Benjamin Campbell allows following entities to bill medicare on his behalf.
Entity NameMena Hospital Commission
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285739581
PECOS PAC ID: 8527057678
Enrollment ID: O20040512000557
Entity NameJohnson Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396794525
PECOS PAC ID: 1658360284
Enrollment ID: O20040702000283
Entity NameJohn Ed Chambers Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154358307
PECOS PAC ID: 4688628167
Enrollment ID: O20050308000661
Entity NameMena Hospital Commission
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093810392
PECOS PAC ID: 8527057678
Enrollment ID: O20070612000656
Entity NameRural Health Pain Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265039556
PECOS PAC ID: 8921410341
Enrollment ID: O20220121002281

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. Mr Jerold Benjamin 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
Mr Jerold Benjamin Campbell, CRNA
Po Box 20343,
Hot Springs, AR 71903-0343

Ph: (501) 520-5204		Mr Jerold Benjamin Campbell, CRNA
311 Morrow St N,
Mena, AR 71953-2516

Ph: (479) 394-6100

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mena, AR

Troy Douglas Morrison, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 311 Morrow St N, Mena, AR 71953
Phone: 479-243-2333    Fax: 479-394-4577
Mark C Hamelink, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 311 Morrow St N, Mena, AR 71953
Phone: 479-243-0971    Fax: 843-664-3723
Mr. John Scott Agee, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 311 Morrow St N, Mena, AR 71953
Phone: 479-394-6100    Fax: 479-394-5477

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.