Mallory Stockstill, FNP-C in Petal, MS - Medicare Nurse Practitioner

Mallory Stockstill, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Petal, Mississippi. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wesley Physician Services Llc, Redmed Llc and her current practice location is 1146 Evelyn Gandy Pkwy, Petal, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 584-4309.

Mallory Stockstill is licensed to practice in Mississippi (license number 904135) 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 1205443165.

Contact Information

	Mallory Stockstill, FNP-C
	1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947
	(601) 584-4309
	(601) 584-4890

Map and Direction

Provider's Profile

Full Name	Mallory Stockstill
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1146 Evelyn Gandy Pkwy, Petal, 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:

Mallory Stockstill graduated from nursing school in 2020

NPI Data:

NPI Number: 1205443165
Provider Enumeration Date: 09/24/2020
Last Update Date: 04/26/2022

Medicare PECOS Information:

PECOS PAC ID: 4284011099
Enrollment ID: I20220517002381

Medical Identifiers

Medical identifiers for Mallory Stockstill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205443165	NPI	-	NPPES
904135	Other	MS	LICENSE VERIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904135 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Merit Health Wesley	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wesley Physician Services Llc	2466559851	45
Redmed Llc	2961633656	43

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. Mallory Stockstill allows following entities to bill medicare on her behalf.

Entity Name	Wesley Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538200209 PECOS PAC ID: 2466559851 Enrollment ID: O20070518000496

Entity Name	Redmed Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095

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. Mallory Stockstill 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
Mallory Stockstill, FNP-C 1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 Ph: (601) 584-4309	Mallory Stockstill, FNP-C 1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 Ph: (601) 584-4309

Reviews and Comments

Nurse Practitioner Nurses in Petal, MS

Mrs. Hang My-thi Nguyen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Eastbrook Dr Ste 30, Petal, MS 39465 Phone: 601-336-5393
Christina Francessca Thornton, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309
David Lee Snodgrass, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890
Raven Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S Main St, Petal, MS 39465 Phone: 602-336-5626
Mrs. Erin Lazenby, CPNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 36 Panther Stadium Dr, Petal, MS 39465 Phone: 601-450-2144 Fax: 601-450-2145
Hope V Pittman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309

Mallory Stockstill, FNP-C - Medicare Nurse Practitioner in Petal, MS