Rustin Forest Cameron, PA-C
Physician Assistant in Mc Kenzie, TN. Individual provider (NPI-1).
NPI number1114211372
StatusActive
Last updated in NPPESJun 6, 2011
Details
- NPI
- 1114211372
- Entity type
- Individual (NPI-1)
- Name
- Mr. Rustin Forest Cameron
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2011
- Last updated
- Jun 6, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
763 Main St NMc Kenzie, TN 38201-1723
Phone 731-358-0973
Mailing address
763 Main St NMc Kenzie, TN 38201-1723
Phone 731-358-0973
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All 9 Physician Assistant providers in Mc Kenzie · All 162 providers in Mc Kenzie
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