Patricia Lurline Campbell, MD in Petal, MS

Patricia Lurline Campbell, MD is a medicare enrolled "Family Medicine" physician in Petal, Mississippi. Her current practice location is 1146 Evelyn Gandy Pkwy, Petal, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 584-4309.

Patricia Lurline Campbell is licensed to practice in Mississippi (license number 30585) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255991253.

Contact Information

	Patricia Lurline Campbell, MD
	1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947
	(601) 584-4309
	Not Available

Map and Direction

Physician's Profile

Full Name	Patricia Lurline Campbell
Gender	Female
Speciality	Family Medicine
Location	1146 Evelyn Gandy Pkwy, Petal, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255991253
Provider Enumeration Date: 06/20/2019
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 0648507806
Enrollment ID: I20220913000853

Medical Identifiers

Medical identifiers for Patricia Lurline Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255991253	NPI	-	NPPES
30585	Other	MS	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	30585 (Mississippi)	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. Patricia Lurline Campbell allows following entities to bill medicare on her behalf.

Entity Name	Wesley Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538200209 PECOS PAC ID: 2466559851 Enrollment ID: O20070518000496

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. Patricia Lurline Campbell 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
Patricia Lurline Campbell, MD 1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 Ph: (601) 584-4309	Patricia Lurline Campbell, MD 1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 Ph: (601) 584-4309

Reviews and Comments

Family Medicine Doctors in Petal, MS

Rodney N Lovitt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 Fax: 601-584-6457
Mr. William Phillip Fortenberry Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404
Mrs. Angel Michelle Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln Ste 100, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457
John Clayton Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309
Ronald A Bullock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457
Dr. Robert Michael Weaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890

Patricia Lurline Campbell, MD - Medicare Family Medicine in Petal, MS