Eric M Campbell, P.A.-C
Individual provider Active NPI Physician Assistant · Sacaton, AZ
NPI 1124397575 · NPPES record last updated Dec 14, 2011
Key facts
- NPI
- 1124397575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5048 (AZ)
- Practice address
- 483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038 - Phone
- (602) 528-1200
- NPI assigned
- Dec 14, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gila River Health Care Corporation
Practice addresses (Care Compare)
291 W Casa Blanca Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (520) 562-3323
483 W Seed Farm Rd
Sacaton, AZ 85147-0038
Hospital & facility affiliations
- Huhu Kam Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.21 of 100
- Quality
- 76.88
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 73.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120301000398 | TX | Practitioner - Physician Assistant | 5991963472 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Health Care | Current |
Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current |
Accepting new patients |
Locations
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5048 | AZ | Yes |
Addresses
Primary practice location
483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038
Mailing address
PO Box 38
Sacaton, AZ 85147-0001
Phone (602) 528-1200
Other providers in Sacaton, AZ
- Stephanie Lashawn Brown
- Becky Gail Brundin
- Lisa Bueno
- Saundra Gayle Bullock
- Millie Kathryn Bushman
- Maili Huck Carey
- Janet M Carpentier
- Jeramie Daniel Carr
- Ashley Marie Castillo
- Claudia V Castrillo
All providers in Sacaton, AZ · Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.