Mrs Chasity Shavon Campbell, APRN in Blytheville, AR

Mrs Chasity Shavon Campbell, APRN is a medicare enrolled "Nurse Practitioner - Family" in Blytheville, Arkansas. Her current practice location is 1521 N 10th St Ste A, Blytheville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 838-7530.

Mrs Chasity Shavon Campbell is licensed to practice in Arkansas (license number 123035) 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 1568000503.

Contact Information

	Mrs Chasity Shavon Campbell, APRN
	1521 N 10th St Ste A, Blytheville, AR 72315-1424
	(870) 838-7530
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Chasity Shavon Campbell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1521 N 10th St Ste A, Blytheville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568000503
Provider Enumeration Date: 12/19/2019
Last Update Date: 03/02/2020

Medicare PECOS Information:

PECOS PAC ID: 0749619054
Enrollment ID: I20200408003003

Medical Identifiers

Medical identifiers for Mrs Chasity Shavon Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568000503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	123035 (Arkansas)	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 Chasity Shavon Campbell allows following entities to bill medicare on her behalf.

Entity Name	Northeast Arkansas Clinic Charitable Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190

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 Chasity Shavon 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 Chasity Shavon Campbell, APRN 1521 N 10th St Ste A, Blytheville, AR 72315-1424 Ph: (870) 838-7530	Mrs Chasity Shavon Campbell, APRN 1521 N 10th St Ste A, Blytheville, AR 72315-1424 Ph: (870) 838-7530

Reviews and Comments

Nurse Practitioner Nurses in Blytheville, AR

Mr. Christopher L Surratt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Medical Dr, Suite D, Blytheville, AR 72315 Phone: 870-838-7385 Fax: 870-762-4781
Ms. Katherine A Gurley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 N 6th St, Blytheville, AR 72315 Phone: 870-281-2530 Fax: 870-281-2532
Rachael Chandler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Priority Health Clinic Llc, 500 Park St, Blytheville, AR 72315 Phone: 870-860-7074 Fax: 870-201-4196
Marka Morgan Davis, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 Fulton St, Blytheville, AR 72315 Phone: 844-215-0731
Mrs. Brittany Rose, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 N 6th St, Blytheville, AR 72315 Phone: 870-281-2530
Josh Hodges, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 N Division St, Blytheville, AR 72315 Phone: 870-838-7300
Peggy Darty, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Medical Dr, Blytheville, AR 72315 Phone: 870-563-6504 Fax: 870-563-7482

Mrs Chasity Shavon Campbell, APRN - Medicare Nurse Practitioner in Blytheville, AR