Dr Stephen Michael Nellis, DO - Medicare Family Medicine in Fort Campbell, KY

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Dr Stephen Michael Nellis, DO is a medicare enrolled "Family Medicine" physician in Fort Campbell, Kentucky. His current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (812) 629-0614.

Dr Stephen Michael Nellis is licensed to practice in Tennessee (license number 0000004954) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962060814.

Contact Information

Dr Stephen Michael Nellis, DO
650 Joel Dr,
Fort Campbell, KY 42223-5318
(812) 629-0614
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephen Michael Nellis
GenderMale
SpecialityFamily Medicine
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962060814
  • Provider Enumeration Date: 06/04/2019
  • Last Update Date: 05/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830518380
  • Enrollment ID: I20231206001770

Medical Identifiers

Medical identifiers for Dr Stephen Michael Nellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962060814NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4954 (Tennessee)Secondary
207R00000XInternal Medicine 4954 (Tennessee)Secondary
208000000XPediatrics 4954 (Tennessee)Secondary
208100000XPhysical Medicine & Rehabilitation 4954 (Tennessee)Secondary
2085R0202XRadiology - Diagnostic Radiology 4954 (Tennessee)Secondary
208600000XSurgery 4954 (Tennessee)Secondary
207Q00000XFamily Medicine 0000004954 (Tennessee)Primary

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. Dr Stephen Michael Nellis allows following entities to bill medicare on his behalf.
Entity NameLexington Clinic Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780652107
PECOS PAC ID: 2466468558
Enrollment ID: O20060227000599
Entity NameLexington Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083809669
PECOS PAC ID: 7719896414
Enrollment ID: O20090324000611
Entity NameLexington Family Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265660708
PECOS PAC ID: 8628120342
Enrollment ID: O20090710000103
Entity NameShamrock Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033878277
PECOS PAC ID: 8325422082
Enrollment ID: O20220829003239
Entity NameHaywood County Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790444933
PECOS PAC ID: 7911373204
Enrollment ID: O20221011001672

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. Dr Stephen Michael Nellis 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
Dr Stephen Michael Nellis, DO
200 W Church St,
Lexington, TN 38351-2038

Ph: (731) 968-3646		Dr Stephen Michael Nellis, DO
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (812) 629-0614

Reviews and Comments


Family Medicine Doctors in Fort Campbell, KY

Dr. Kevin Leone Cummings, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8372    Fax: 707-982-8224
Zachary Fielding Wiser, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Adriane E Bell, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Dr. Todd A Wical, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-412-1411    Fax: 270-412-6802
Dr. Ijindah Marcus Uriri, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-461-1576    
Dr. Paul Hunt, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223
Phone: 270-798-8400    
Michelle Yvonne Rorie, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-461-1579    Fax: 270-461-4021

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.