Kristi M Slack, CF NP is a medicare enrolled "Nurse Practitioner" in Marietta, Mississippi. She graduated from nursing school in 2003 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Mississippi Medical Center, Inc. and her current practice location is
3 County Road 4050, Marietta, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 728-2408.
Kristi M Slack is licensed to practice in Mississippi (license number R853095) 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 1003840232.
Provider's Profile
| Full Name | Kristi M Slack |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 22 Years |
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| Location | 3 County Road 4050, Marietta, 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:
- Kristi M Slack graduated from nursing school in 2003
NPI Data:
- NPI Number: 1003840232
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 04/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 3375518582
- Enrollment ID: I20040831001284
Medical Identifiers
Medical identifiers for Kristi M Slack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003840232 | NPI | - | NPPES |
| 00239247 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | R853095 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Mississippi Medical Center, Inc. | 9931010600 | 298 |
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. Kristi M Slack allows following entities to bill medicare on her behalf.
| Entity Name | North Mississippi Medical Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972608347
PECOS PAC ID: 9931010600
Enrollment ID: O20040413000541 |
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| Entity Name | Marietta Family Clinic, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922032812
PECOS PAC ID: 8527062017
Enrollment ID: O20060914000628 |
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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. Kristi M Slack 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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Kristi M Slack, CF NP
Po Box 56,
Marietta, MS 38856-0056
Ph: (662) 728-2408 | Kristi M Slack, CF NP
3 County Road 4050,
Marietta, MS 38856
Ph: (662) 728-2408 |
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