Charlyn Sue Hackett, - Medicare Nurse Practitioner in Hampton, AR

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Charlyn Sue Hackett, is a medicare enrolled "Nurse Practitioner - Family" in Hampton, Arkansas. Her current practice location is 402 S Lee St, Hampton, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 798-4064.

Charlyn Sue Hackett is licensed to practice in Arkansas (license number 216422) 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 1215504311.

Contact Information

Charlyn Sue Hackett,
402 S Lee St,
Hampton, AR 71744-8615
(870) 798-4064
Not Available

Map and Direction




Provider's Profile

Full NameCharlyn Sue Hackett
GenderFemale
SpecialityNurse Practitioner - Family
Location402 S Lee St, Hampton, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215504311
  • Provider Enumeration Date: 06/07/2021
  • Last Update Date: 07/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547665515
  • Enrollment ID: I20210830001563

Medical Identifiers

Medical identifiers for Charlyn Sue Hackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215504311NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 216422 (Arkansas)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. Charlyn Sue Hackett allows following entities to bill medicare on her behalf.
Entity NameCabun Rural Health Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912946807
PECOS PAC ID: 9133029234
Enrollment ID: O20040113000620

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. Charlyn Sue Hackett 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
Charlyn Sue Hackett,
14016 Joan Dr,
Mabelvale, AR 72103-3085

Ph: (870) 818-0014		Charlyn Sue Hackett,
402 S Lee St,
Hampton, AR 71744-8615

Ph: (870) 798-4064

Reviews and Comments


Nurse Practitioner Nurses in Hampton, AR

Wanda Renee Mcclellan, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 402 South Lee Street, Hampton, AR 71744
Phone: 870-798-4299    Fax: 870-798-2005
Robert Todd Pennington, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 402 S Lee St, Hampton, AR 71744
Phone: 870-798-4299    
Rhonda Seat, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 402 Lee Street, Hampton, AR 71744
Phone: 870-798-4064    Fax: 870-798-4100

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.