Dr. Penelope Anne Campbell

MD | Pediatrics | Female

Dr. Penelope Anne Campbell, MD is a Myrtle Beach, South Carolina based Pediatric doctor with medical specialization in General Pediatrics. Dr. Penelope Anne Campbell is also known as Penelope Anne Thompson. Current practice location of Dr. Penelope Anne Campbell is 4022 Postal Way Ste C, Myrtle Beach, South Carolina - 29579-3537. She can be contacted on phone at 843-903-4111 and fax number 843-903-4242. Dr. Penelope Anne Campbell is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Penelope Anne Campbell is 1124084876 which was assigned by NPPES on 21 Apr, 2006 and it was last updated on 02 Feb, 2012. Dr. Penelope Anne Campbell license number is 27349 for Pediatrics (208000000X) in South Carolina.
Dr. Penelope Anne Campbell is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Penelope Anne Campbell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Penelope Anne Campbell
Other Name :Penelope Anne Thompson
Credential :MD
Gender :Female
Business Address:
Dr. Penelope Anne Campbell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :4022 Postal Way Ste C
Myrtle Beach, SC, 29579-3537
United States
Phone Number :843-903-4111
Fax Number :843-903-4242
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1124084876
NPI Entity Type : Individual
First Enrolment Date : 21 Apr, 2006
Last Updated On : 02 Feb, 2012
Medicare Participation:
Dr. Penelope Anne Campbell participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :5698841823
Medicare Enrollment ID :I20080911000424
Primary Specialty :Pediatric Medicine
Medical School :University Of Kentucky College Of Medicine
Graduation Year :2001
Accepts Medicare?Yes. Dr. Penelope Anne Campbell accepts medicare insurance.
Group Practice Association:
Dr. Penelope Anne Campbell is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Penelope Anne Campbell is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Careteam Plus Inc29616782893100 Professional Park Dr
Conway, SC - 295269260
Ph: 8432340005
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Penelope Anne Campbell are as mentioned. Primary taxonomy code for Dr. Penelope Anne Campbell, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
2080A0000XPediatrics Adolescent MedicineNo27349SC
208000000XPediatricsYes27349SC
Legacy Identifiers:
Other legacy medical identifiers of Dr. Penelope Anne Campbell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
570783896OtherSCFED TAX ID
7844OtherSCMEDICARE PTAN
GP4505MEDICAIDSC
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 50760
Myrtle Beach, SC, 29579-0013
United States
Phone Number :843-903-4111
Fax Number :843-903-4242
Business Location:
Patients can refer following map for directions to Dr. Penelope Anne Campbell practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.