Kristi M Slack, CF NP is a medicare enrolled "Nurse Practitioner" in Marietta, Mississippi. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
3 County Road 4050, Marietta, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 728-2408.
Kristi M Slack is licensed to practice in Mississippi (license number R853095) 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 1003840232.
Provider's Profile
| Full Name | Kristi M Slack |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 21 Years |
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| Location | 3 County Road 4050, Marietta, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristi M Slack graduated from nursing school in 2003
NPI Data:
- NPI Number: 1003840232
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 04/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 3375518582
- Enrollment ID: I20040831001284
Medical Identifiers
Medical identifiers for Kristi M Slack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003840232 | NPI | - | NPPES |
| 00239247 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | R853095 (Mississippi) | Primary |
Medical Facilities Affiliation
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. Kristi M Slack allows following entities to bill medicare on her behalf.
| Entity Name | Marietta Family Clinic, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922032812
PECOS PAC ID: 8527062017
Enrollment ID: O20060914000628 |
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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. Kristi M Slack 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 |
|---|
Kristi M Slack, CF NP
Po Box 56,
Marietta, MS 38856-0056
Ph: (662) 728-2408 | Kristi M Slack, CF NP
3 County Road 4050,
Marietta, MS 38856
Ph: (662) 728-2408 |
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