Samantha Shorter Vickrey, FNP in Southaven, MS

Samantha Shorter Vickrey, FNP is a medicare enrolled "Nurse Practitioner - Family" in Southaven, Mississippi. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Medical Clinic Of North Ms Inc and her current practice location is 3451 Goodman Rd E Ste 115, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 890-5555.

Samantha Shorter Vickrey is licensed to practice in Arkansas (license number A004573) 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 1982079000.

Contact Information

	Samantha Shorter Vickrey, FNP
	3451 Goodman Rd E Ste 115, Southaven, MS 38672
	(662) 890-5555
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Shorter Vickrey
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	3451 Goodman Rd E Ste 115, Southaven, Mississippi
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:

Samantha Shorter Vickrey graduated from nursing school in 2015

NPI Data:

NPI Number: 1982079000
Provider Enumeration Date: 12/01/2015
Last Update Date: 03/27/2019

Medicare PECOS Information:

PECOS PAC ID: 9032410931
Enrollment ID: I20171005002174

Medical Identifiers

Medical identifiers for Samantha Shorter Vickrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982079000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A004573 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital
Methodist Healthcare - Olive Branch Hospital	Olive branch, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Medical Clinic Of North Ms Inc	5294790861	11

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. Samantha Shorter Vickrey allows following entities to bill medicare on her behalf.

Entity Name	Family Medical Clinic Of North Ms Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134174154 PECOS PAC ID: 5294790861 Enrollment ID: O20041123000266

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. Samantha Shorter Vickrey 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
Samantha Shorter Vickrey, FNP 3451 Goodman Rd E Ste 115, Southaven, MS 38672-9304 Ph: (662) 890-5555	Samantha Shorter Vickrey, FNP 3451 Goodman Rd E Ste 115, Southaven, MS 38672 Ph: (662) 890-5555

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671 Phone: 662-470-7549 Fax: 269-906-2006
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Samantha Shorter Vickrey, FNP - Medicare Nurse Practitioner in Southaven, MS