Katelynn Pannell, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Tupelo, Mississippi. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urology Professional Assoc and her current practice location is
499 S Gloster St Ste A-1, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 432-0700.
Katelynn Pannell is licensed to practice in Mississippi (license number 904178) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013515667.
Physician's Profile
| Full Name | Katelynn Pannell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 499 S Gloster St Ste A-1, Tupelo, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katelynn Pannell graduated from medical school in 2020
NPI Data:
- NPI Number: 1013515667
- Provider Enumeration Date: 10/15/2020
- Last Update Date: 07/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284048323
- Enrollment ID: I20210201000676
Medical Identifiers
Medical identifiers for Katelynn Pannell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013515667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 1508886805 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | 904178 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 904178 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Urology Professional Assoc | 9335166834 | 14 |
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. Katelynn Pannell allows following entities to bill medicare on her behalf.
| Entity Name | Urology Professional Assoc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508886805
PECOS PAC ID: 9335166834
Enrollment ID: O20060906000564 |
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| Entity Name | Redmed Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437589157
PECOS PAC ID: 2961633656
Enrollment ID: O20140321001095 |
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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. Katelynn Pannell 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 Address | Practice Location Address |
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Katelynn Pannell, NP
499 Gloster Creek Vlg Ste A1,
Tupelo, MS 38801-4749
Ph: (662) 432-0700 | Katelynn Pannell, NP
499 S Gloster St Ste A-1,
Tupelo, MS 38801-5539
Ph: (662) 432-0700 |
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