Kelley Funderburg, APRN in Germantown, TN - Medicare Nurse Practitioner

Kelley Funderburg, APRN is a medicare enrolled "Nurse Practitioner - Family" in Germantown, Tennessee. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Campbell Clinic Pc, Campbell Clinic Pc and her current practice location is 1400 S Germantown Rd, Germantown, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 759-3100.

Kelley Funderburg is licensed to practice in Tennessee (license number 22448) 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 1831621952.

Contact Information

	Kelley Funderburg, APRN
	1400 S Germantown Rd, Germantown, TN 38138-2205
	(901) 759-3100
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelley Funderburg
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1400 S Germantown Rd, Germantown, Tennessee
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:

Kelley Funderburg graduated from nursing school in 2016

NPI Data:

NPI Number: 1831621952
Provider Enumeration Date: 03/29/2017
Last Update Date: 10/05/2022

Medicare PECOS Information:

PECOS PAC ID: 4789952169
Enrollment ID: I20181010001549

Medical Identifiers

Medical identifiers for Kelley Funderburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831621952	NPI	-	NPPES
00759714	Medicaid	MS
Q045204	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	22448 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital	Memphis, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Campbell Clinic Pc	9638082076	142
Campbell Clinic Pc	9638082076	142

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. Kelley Funderburg allows following entities to bill medicare on her behalf.

Entity Name	Campbell Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003835141 PECOS PAC ID: 9638082076 Enrollment ID: O20031111000385

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. Kelley Funderburg 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
Kelley Funderburg, APRN 1400 S Germantown Rd, Germantown, TN 38138-2205 Ph: (901) 759-3100	Kelley Funderburg, APRN 1400 S Germantown Rd, Germantown, TN 38138-2205 Ph: (901) 759-3100

Reviews and Comments

Nurse Practitioner Nurses in Germantown, TN

Lisa D Beasley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8040 Wolf River Blvd, Suite 200, Germantown, TN 38138 Phone: 901-414-0017
Brenda S Cole, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P. C., Germantown, TN 38138 Phone: 901-763-0200 Fax: 901-260-1713
Mrs. Mary K Simpson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7715 Wolf River Blvd, Germantown, TN 38138 Phone: 901-328-6031 Fax: 901-328-6035
Cynthia Denise Bedford, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-1290 Fax: 901-516-1220
Ashley Marsh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-756-0196
Kelli Chase Gill, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7600 Wolf River Blvd Ste 120, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-682-1362
Hannah Case, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6799 Great Oaks Rd Ste 105, Germantown, TN 38138 Phone: 901-821-8300

Kelley Funderburg, APRN - Medicare Nurse Practitioner in Germantown, TN