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Micaela Rose Campagna

Family Medicine

Allopathic & Osteopathic Physicians

1315 Jesse Jewell Pkwy NE Ste 110, Gainesville, GA 30501-3816

PECOS Enrollment

This provider is enrolled in PECOS as MICAELA CAMPAGNA.

Based on the most recent information from CMS, provider Micaela Rose Campagna is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1326706516
Provider Type
Individual
Full Name
Campagna, Micaela Rose
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/4/2021
Last Updated
10/14/2024

Contact Information

Practice Location

1315 Jesse Jewell Pkwy NE Ste 110, Gainesville, GA 30501-3816

(770) 219-9380

Unlisted Fax

Mailing Location

4930 Willow Creek Dr, Woodstock, GA 30188-4361

(404) 242-7831

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 10680 Georgia

Micaela Rose Campagna

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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