Madelena Campbell, RN, CPNP-BC, CPN in Gulfport, MS

Madelena Campbell, RN, CPNP-BC, CPN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Gulfport, Mississippi. Her current practice location is 12261 Highway 49, Suite 11, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 867-5185.

Madelena Campbell is licensed to practice in Mississippi (license number 868611) 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 1720368855.

Contact Information

	Madelena Campbell, RN, CPNP-BC, CPN
	12261 Highway 49, Suite 11, Gulfport, MS 39503-2975
	(228) 867-5185
	(228) 867-5189

Map and Direction

Provider's Profile

Full Name	Madelena Campbell
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	12261 Highway 49, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720368855
Provider Enumeration Date: 08/20/2011
Last Update Date: 04/28/2020

Medicare PECOS Information:

PECOS PAC ID: 9032370259
Enrollment ID: I20120416000651

Medical Identifiers

Medical identifiers for Madelena Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720368855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R868611 (Mississippi)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	868611 (Mississippi)	Primary
363LP0200X	Nurse Practitioner - Pediatrics	R868611 (Mississippi)	Secondary

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. Madelena Campbell allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

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. Madelena 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
Madelena Campbell, RN, CPNP-BC, CPN Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 896-6441	Madelena Campbell, RN, CPNP-BC, CPN 12261 Highway 49, Suite 11, Gulfport, MS 39503-2975 Ph: (228) 867-5185

Reviews and Comments

Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503 Phone: 228-575-2176
Tracy Leigh Ladner, C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Heather Lyn Jeffrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Leigh P Drace, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507 Phone: 228-896-4417 Fax: 228-604-0121
Ashley Barq House, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598
Mrs. Carla Ann Rushing, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Mrs. Michelle Wright Taylor, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503 Phone: 228-539-3356

Madelena Campbell, RN, CPNP-BC, CPN - Medicare Nurse Practitioner in Gulfport, MS