Mrs Amy Calvert Campbell, CFNP in Vicksburg, MS

Mrs Amy Calvert Campbell, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Vicksburg, Mississippi. Her current practice location is 2080 S Frontage Rd Ste 112, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 883-6304.

Mrs Amy Calvert Campbell is licensed to practice in Mississippi (license number R881049) 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 1770876377.

Contact Information

	Mrs Amy Calvert Campbell, CFNP
	2080 S Frontage Rd Ste 112, Vicksburg, MS 39180-5882
	(601) 883-6304
	(601) 883-6325

Map and Direction

Provider's Profile

Full Name	Mrs Amy Calvert Campbell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2080 S Frontage Rd Ste 112, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770876377
Provider Enumeration Date: 05/16/2011
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9537323340
Enrollment ID: I20120607000111

Medical Identifiers

Medical identifiers for Mrs Amy Calvert Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770876377	NPI	-	NPPES
R881049	Other	MS	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R881049 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	R881049 (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. Mrs Amy Calvert Campbell allows following entities to bill medicare on her behalf.

Entity Name	Vicksburg Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738

Entity Name	Flowood Pain Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356848014 PECOS PAC ID: 6901154293 Enrollment ID: O20180802001444

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. Mrs Amy Calvert 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
Mrs Amy Calvert Campbell, CFNP Po Box 649113, Dallas, TX 75264-9113 Ph: (855) 343-5763	Mrs Amy Calvert Campbell, CFNP 2080 S Frontage Rd Ste 112, Vicksburg, MS 39180-5882 Ph: (601) 883-6304

Reviews and Comments

Nurse Practitioner Nurses in Vicksburg, MS

Jenifer Justice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 014-562-5986 Fax: 855-830-3484
Mrs. Kimberly Fuller, MSN, ACNP - BS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Mrs. Latasha Jackson Claiborne, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Nina Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356
Linda Cheslek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356
Kerrie Sanders- Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4077 Pemberton Square Blvd, Vicksburg, MS 39180 Phone: 601-638-8600
Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 Highway 61 N, Vicksburg, MS 39183 Phone: 014-562-2776 Fax: 601-456-2622

Mrs Amy Calvert Campbell, CFNP - Medicare Nurse Practitioner in Vicksburg, MS