Jerald Dwight Campbell, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Emporia, KS

Jerald Dwight Campbell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Emporia, Kansas. He graduated from nursing school in 1977 and has 47 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Emporia Anesthesia Associates Pa, Newman Memorial County Hospital and his current practice location is 1201 W 12th Ave, Emporia, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 343-6800.

Jerald Dwight Campbell is licensed to practice in Kansas (license number 54148) 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 1346212073.

Contact Information

Jerald Dwight Campbell, CRNA
1201 W 12th Ave,
Emporia, KS 66801-2531
(620) 343-6800
Not Available



Provider's Profile

Full NameJerald Dwight Campbell
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience47 Years
Location1201 W 12th Ave, Emporia, Kansas
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:
  • Jerald Dwight Campbell graduated from nursing school in 1977
  NPI Data:
  • NPI Number: 1346212073
  • Provider Enumeration Date: 02/06/2006
  • Last Update Date: 05/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6204883549
  • Enrollment ID: I20050407001020

Medical Identifiers

Medical identifiers for Jerald Dwight Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346212073NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 54148 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Newman Regional HealthEmporia, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emporia Anesthesia Associates Pa14563335095
Newman Memorial County Hospital519363852648

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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. Jerald Dwight Campbell allows following entities to bill medicare on his behalf.
Entity NameNewman Memorial County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114085594
PECOS PAC ID: 5193638526
Enrollment ID: O20040309001044

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Entity NameEmporia Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013989748
PECOS PAC ID: 1456333509
Enrollment ID: O20040603000253

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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. Jerald Dwight 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
Jerald Dwight Campbell, CRNA
1110 West 6th Ave,
Emporia, KS 66801-2531

Ph: (620) 342-8748
Jerald Dwight Campbell, CRNA
1201 W 12th Ave,
Emporia, KS 66801-2531

Ph: (620) 343-6800

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Nurse Anesthetist, Certified Registered Nurses in Emporia, KS

Renee Rachelle Sinclair, CRNA MAE
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1201 W 12th Ave, Emporia, KS 66801
Phone: 620-343-6800    
Robert Lyle Davis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1201 West 12th Avenue, Emporia, KS 66801
Phone: 620-343-6800    
Jeffry Alan Berry, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1201 W 12th Ave, Emporia, KS 66801
Phone: 620-343-6800    
Joseph Patrick Conroy, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1201 W 12th Ave, Emporia, KS 66801
Phone: 620-343-2800    

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