Mr Kenneth Wayne Campbell, CRNA in Jacksonville, AL - Medicare Nurse Anesthetist, Certified Registered

Mr Kenneth Wayne Campbell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Alabama. His current practice location is 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 435-4970.

Mr Kenneth Wayne Campbell is licensed to practice in Alabama (license number 26081) 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 1659409365.

Contact Information

	Mr Kenneth Wayne Campbell, CRNA
	1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265
	(256) 435-4970
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kenneth Wayne Campbell
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1701 Pelham Road, Jacksonville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659409365
Provider Enumeration Date: 03/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8224129903
Enrollment ID: I20080310000045

Medical Identifiers

Medical identifiers for Mr Kenneth Wayne Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659409365	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	26081 (Alabama)	Primary

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 Kenneth Wayne Campbell allows following entities to bill medicare on his behalf.

Entity Name	Community Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819

Entity Name	Amsol Anesthetists Of Georgia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20080829000381

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 Kenneth Wayne 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 Address	Practice Location Address
Mr Kenneth Wayne Campbell, CRNA 727 County Road 8, Heflin, AL 36264-3651 Ph: (256) 253-2885	Mr Kenneth Wayne Campbell, CRNA 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 Ph: (256) 435-4970

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jacksonville, AL

Mrs. Arlene R Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1210 Jacksons Way Sw, Jacksonville, AL 36265 Phone: 256-435-6999
Mr. Frank A Brown, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1210 Jacksons Way Sw, Jacksonville, AL 36265 Phone: 256-435-6999 Fax: 256-435-6999
Donna Renee Appleton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-782-4523 Fax: 256-782-4184
Wade Bilger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-435-4970
Mary Jennifer Coffman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-782-4523 Fax: 256-782-4184

Mr Kenneth Wayne Campbell, CRNA - Medicare Nurse Anesthetist, Certified Registered in Jacksonville, AL