Mr Charles W Capps Iii, FNP in Cleveland, MS - Medicare Nurse Practitioner

Mr Charles W Capps Iii, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Mississippi. His current practice location is 515 S Victoria Ave, Cleveland, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 402-1447.

Mr Charles W Capps Iii is licensed to practice in Mississippi (license number RN890049) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932576139.

Contact Information

	Mr Charles W Capps Iii, FNP
	515 S Victoria Ave, Cleveland, MS 38732-3738
	(662) 402-1447
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Charles W Capps Iii
Gender	Male
Speciality	Nurse Practitioner - Family
Location	515 S Victoria Ave, Cleveland, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932576139
Provider Enumeration Date: 08/24/2015
Last Update Date: 08/24/2015

Medicare PECOS Information:

PECOS PAC ID: 9830490697
Enrollment ID: I20151221000811

Medical Identifiers

Medical identifiers for Mr Charles W Capps Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932576139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN890049 (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. Mr Charles W Capps Iii allows following entities to bill medicare on his behalf.

Entity Name	North Sunflower Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318

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. Mr Charles W Capps Iii 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
Mr Charles W Capps Iii, FNP 515 S Victoria Ave, Cleveland, MS 38732-3738 Ph: (662) 402-1447	Mr Charles W Capps Iii, FNP 515 S Victoria Ave, Cleveland, MS 38732-3738 Ph: (662) 402-1447

Reviews and Comments

Nurse Practitioner Nurses in Cleveland, MS

Ms. Bonita Clair Cross, C.F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 East Sunflower Road, Cleveland, MS 38732 Phone: 662-846-0061
Clare Adams Moore, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 E Sunflower Rd, Cleveland, MS 38732 Phone: 662-579-0136
Angela D Parish, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 810 E Sunflower Rd, Ste 100e, Cleveland, MS 38732 Phone: 662-846-6034 Fax: 662-846-6260
Cassandra Latasha Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 North St, Cleveland, MS 38732 Phone: 662-545-4674 Fax: 662-545-4715
Angela M Corbin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 S Pearman Ave, Cleveland, MS 38732 Phone: 662-368-6291 Fax: 662-368-6324
Carly Maranne Hazzard Andrews, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 N Pearman Ave, Cleveland, MS 38732 Phone: 888-757-0838 Fax: 662-579-3378
Mrs. Keila Mayfield, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 810 E. Sunflower Road, Suite 100a, Cleveland, MS 38732 Phone: 662-843-3606 Fax: 662-846-1708

Mr Charles W Capps Iii, FNP - Medicare Nurse Practitioner in Cleveland, MS