Stacy Campbell, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Senatobia, Mississippi. Her current practice location is
2778 Highway 51 S, Senatobia, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 429-4988.
Stacy Campbell is licensed to practice in Mississippi (license number 906653) 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 1750139630.
Physician's Profile
Full Name | Stacy Campbell |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2778 Highway 51 S, Senatobia, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750139630
- Provider Enumeration Date: 05/07/2024
- Last Update Date: 03/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991248395
- Enrollment ID: I20240613001776
Medical Identifiers
Medical identifiers for Stacy Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750139630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 906653 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 906653 (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. Stacy Campbell allows following entities to bill medicare on her behalf.
Entity Name | Hernando Family Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740350628 PECOS PAC ID: 9931107018 Enrollment ID: O20061218000575 |
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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. Stacy 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 |
Stacy Campbell, FNP-C 2778 Highway 51 S, Senatobia, MS 38668-9403 Ph: (662) 429-4988 | Stacy Campbell, FNP-C 2778 Highway 51 S, Senatobia, MS 38668-9403 Ph: (662) 429-4988 |
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