Kimberly Campbell, NP in Kosciusko, MS - Medicare Nurse Practitioner

Kimberly Campbell, NP is a medicare enrolled "Nurse Practitioner - Family" in Kosciusko, Mississippi. Her current practice location is 405 W Adams St, Kosciusko, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 289-2880.

Kimberly Campbell is licensed to practice in Mississippi (license number 904745) 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 1770221640.

Contact Information

	Kimberly Campbell, NP
	405 W Adams St, Kosciusko, MS 39090-3617
	(662) 289-2880
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Campbell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	405 W Adams St, Kosciusko, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770221640
Provider Enumeration Date: 05/21/2022
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5890168579
Enrollment ID: I20230228000515

Medical Identifiers

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

Identifier	Type	State	Issuer
1770221640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904745 (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. Kimberly Campbell allows following entities to bill medicare on her behalf.

Entity Name	Choctaw Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235547878 PECOS PAC ID: 2567682206 Enrollment ID: O20141215002502

Entity Name	Healthyconnect Primary Care Of Mississippi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770324659 PECOS PAC ID: 3779014303 Enrollment ID: O20241007001094

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. Kimberly 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
Kimberly Campbell, NP 405 W Adams St, Kosciusko, MS 39090-3617 Ph: (662) 289-2880	Kimberly Campbell, NP 405 W Adams St, Kosciusko, MS 39090-3617 Ph: (662) 289-2880

Reviews and Comments

Nurse Practitioner Nurses in Kosciusko, MS

Mrs. Mary Katherine Lawrence, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Highway 12 W, Kosciusko, MS 39090 Phone: 662-290-3150 Fax: 662-290-3160
Annette Cross, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4066 Attala Road 1110, Kosciusko, MS 39090 Phone: 166-261-4881
Mr. Timothy M. South, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-1800 Fax: 662-289-2486
Mrs. Joy W Reynolds, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3099 Attala Road 1213, Kosciusko, MS 39090 Phone: 662-289-8022 Fax: 662-289-8022
Kimberly Michele Myer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Highway 12 W, Kosciusko, MS 39090 Phone: 662-290-3150
Kayla Barnett Ferguson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 332 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-1900 Fax: 662-289-2486
Mrs. Linda B Cockroft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 662-289-9155 Fax: 662-289-2776

Kimberly Campbell, NP - Medicare Nurse Practitioner in Kosciusko, MS