Ae Mary Vilayvong Irwin, NP is a medicare enrolled "Nurse Practitioner" physician in Macon, Georgia. Her current practice location is
380 Hospital Dr Ste 320, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 750-8606.
Ae Mary Vilayvong Irwin is licensed to practice in Georgia (license number RN145963) 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 1306498605.
Physician's Profile
Full Name | Ae Mary Vilayvong Irwin |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner |
---|
Location | 380 Hospital Dr Ste 320, Macon, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306498605
- Provider Enumeration Date: 07/16/2019
- Last Update Date: 11/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749619237
- Enrollment ID: I20200403002599
Medical Identifiers
Medical identifiers for Ae Mary Vilayvong Irwin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306498605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | RN110412 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN145963 (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. Ae Mary Vilayvong Irwin allows following entities to bill medicare on her behalf.
Entity Name | Gastroenterology Associates Of Central Ga Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1528192176 PECOS PAC ID: 6901702059 Enrollment ID: O20031209001042 |
---|
Entity Name | Piedmont Providers Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
---|
Entity Name | Georgia Neurosurgical Institute, P.c |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1972558336 PECOS PAC ID: 7517958234 Enrollment ID: O20040521000071 |
---|
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. Ae Mary Vilayvong Irwin 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 |
Ae Mary Vilayvong Irwin, NP 840 Pine St Ste 880, Macon, GA 31201-7525 Ph: (478) 743-7092 | Ae Mary Vilayvong Irwin, NP 380 Hospital Dr Ste 320, Macon, GA 31217-8007 Ph: (478) 750-8606 |
Reviews and Comments