Lacey Nicole Campbell, FNP-C in Thomaston, GA

Lacey Nicole Campbell, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Thomaston, Georgia. Her current practice location is 801 W Gordon St, Thomaston, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 647-8111.

Lacey Nicole Campbell is licensed to practice in Georgia (license number RN233127) 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 1255114740.

Contact Information

	Lacey Nicole Campbell, FNP-C
	801 W Gordon St, Thomaston, GA 30286-3426
	(706) 647-8111
	Not Available

Map and Direction

Provider's Profile

Full Name	Lacey Nicole Campbell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	801 W Gordon St, Thomaston, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255114740
Provider Enumeration Date: 08/17/2023
Last Update Date: 11/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6901253251
Enrollment ID: I20231108003488

Medical Identifiers

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

Identifier	Type	State	Issuer
1255114740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN233127 (Georgia)	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. Lacey Nicole Campbell allows following entities to bill medicare on her behalf.

Entity Name	Hightower Emergency Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790285815 PECOS PAC ID: 3577825751 Enrollment ID: O20180328001360

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. Lacey Nicole 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
Lacey Nicole Campbell, FNP-C 801 W Gordon St, Thomaston, GA 30286-3426 Ph: (706) 647-8111	Lacey Nicole Campbell, FNP-C 801 W Gordon St, Thomaston, GA 30286-3426 Ph: (706) 647-8111

Reviews and Comments

Nurse Practitioner Nurses in Thomaston, GA

Mrs. Tammie Ann Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Cherokee Rd, Thomaston, GA 30286 Phone: 706-647-3200 Fax: 706-647-2346
Lisa Marie Jenkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 S Center St, Thomaston, GA 30286 Phone: 706-647-2147 Fax: 706-647-7229
Mary Suzanne Gamel, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1512 Highway 19 N, Thomaston, GA 30286 Phone: 706-647-2641 Fax: 706-647-2680
Lisa Gaye Ingram, MSN, APRN, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 Fax: 706-646-3153
Mrs. Felicia Annette Jarrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 Fax: 706-647-7713
Sybil Lew, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Deluxe Cir Ste B, Thomaston, GA 30286 Phone: 706-647-7509 Fax: 706-647-6624

Lacey Nicole Campbell, FNP-C - Medicare Nurse Practitioner in Thomaston, GA