Stacey Farrell, CNP in Greenwood, MS - Medicare Nurse Practitioner

Stacey Farrell, CNP is a medicare enrolled "Nurse Practitioner - Family" in Greenwood, Mississippi. Her current practice location is 411 Fulton St, Greenwood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 455-4434.

Stacey Farrell is licensed to practice in Mississippi (license number R855653) 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 1154763514.

Contact Information

	Stacey Farrell, CNP
	411 Fulton St, Greenwood, MS 38930-4314
	(662) 455-4434
	(662) 455-4435

Map and Direction

Provider's Profile

Full Name	Stacey Farrell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	411 Fulton St, Greenwood, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154763514
Provider Enumeration Date: 07/25/2013
Last Update Date: 01/06/2015

Medicare PECOS Information:

PECOS PAC ID: 9335375880
Enrollment ID: I20131112000644

Medical Identifiers

Medical identifiers for Stacey Farrell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154763514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R855653 (Mississippi)	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. Stacey Farrell allows following entities to bill medicare on her behalf.

Entity Name	Delta Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636

Entity Name	Bolivar Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063659530 PECOS PAC ID: 6305995895 Enrollment ID: O20090512000274

Entity Name	Delta Kidney Alliance Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992276851 PECOS PAC ID: 3870834856 Enrollment ID: O20190402000570

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. Stacey Farrell 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
Stacey Farrell, CNP 411 Fulton St, Greenwood, MS 38930-4314 Ph: (662) 455-4434	Stacey Farrell, CNP 411 Fulton St, Greenwood, MS 38930-4314 Ph: (662) 455-4434

Reviews and Comments

Nurse Practitioner Nurses in Greenwood, MS

Ms. Kara Austin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 Tallahatchie St, Greenwood, MS 38930 Phone: 662-453-2626
William Jesse Hodnett Iii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-7000
Mrs. Tonya Mayers-sherman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-1234
Mrs. Sabrina Brown Matthews, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-7000
Heather Henderson Wilkey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 706 Highway 82 W, Suite B, Greenwood, MS 38930 Phone: 662-459-2181 Fax: 662-459-2182
Mrs. Brandy G Smith, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2901 Highway 82 E, Greenwood, MS 38930 Phone: 662-374-2185 Fax: 662-374-2195
Stacey D Sprayberry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Us 82, Greenwood, MS 38930 Phone: 662-453-6323 Fax: 662-453-9238

Stacey Farrell, CNP - Medicare Nurse Practitioner in Greenwood, MS