Leita N Stark, FNP-BC in Mantachie, MS - Medicare Nurse Practitioner

Leita N Stark, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mantachie, Mississippi. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Mississippi Medical Clinics Inc and her current practice location is 5500 Highway 363, Mantachie, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 282-4226.

Leita N Stark is licensed to practice in Mississippi (license number R862379) 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 1760719447.

Contact Information

	Leita N Stark, FNP-BC
	5500 Highway 363, Mantachie, MS 38855-7197
	(662) 282-4226
	Not Available

Map and Direction

Provider's Profile

Full Name	Leita N Stark
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	5500 Highway 363, Mantachie, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Leita N Stark graduated from nursing school in 2009

NPI Data:

NPI Number: 1760719447
Provider Enumeration Date: 11/17/2009
Last Update Date: 11/17/2009

Medicare PECOS Information:

PECOS PAC ID: 8224215744
Enrollment ID: I20110610000175

Medical Identifiers

Medical identifiers for Leita N Stark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760719447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R862379 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Mississippi Medical Ctr Hha	Tupelo, MS	Home health agency
North Mississippi Medical Center	Tupelo, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Mississippi Medical Clinics Inc	6103736665	116

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. Leita N Stark allows following entities to bill medicare on her behalf.

Entity Name	North Mississippi Medical Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582

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. Leita N Stark 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
Leita N Stark, FNP-BC 95 Ivie Ln, Mantachie, MS 38855-8383 Ph: (662) 322-3278	Leita N Stark, FNP-BC 5500 Highway 363, Mantachie, MS 38855-7197 Ph: (662) 282-4226

Reviews and Comments

Nurse Practitioner Nurses in Mantachie, MS

Ms. Bonnie Renee' Jones, MSN, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 285 Ivie Ln, Mantachie, MS 38855 Phone: 662-282-4197 Fax: 662-282-5121
Madison Leigh Carrell, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5681 Ms-363, Mantachie, MS 38855 Phone: 662-282-4226
Austin Harbor Black, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5681 Highway 363, Mantachie, MS 38855 Phone: 662-282-4226
Susan Long Newell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3275 Highway 371 N, Mantachie, MS 38855 Phone: 662-282-7555
Nativel J Collins, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3275 Highway 371 N, Mantachie, MS 38855 Phone: 662-282-7555 Fax: 877-254-0552
Crystal Jo Nichols, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 285 Ivie Ln, Mantachie, MS 38855 Phone: 662-282-4197 Fax: 662-282-5121
Cynthia Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5681 Highway 363, Mantachie, MS 38855 Phone: 662-282-4226 Fax: 662-282-7946

Leita N Stark, FNP-BC - Medicare Nurse Practitioner in Mantachie, MS