Dr Marisa Marie Wynne, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Warren, Ohio. She went to Ohio University, College Of Osteopathic Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pain Management. She is a member of the group practice Mercy Health Physicians Youngstown Specialty Care Llc and her current practice location is
1934 Niles Cortland Rd Ne Ste B, Warren, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 841-4032.
Dr Marisa Marie Wynne is licensed to practice in Ohio (license number 34.009421) 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 1346422615.
Physician's Profile
Full Name | Dr Marisa Marie Wynne |
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Gender | Female |
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Speciality | Pain Management |
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Experience | 17 Years |
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Location | 1934 Niles Cortland Rd Ne Ste B, Warren, Ohio |
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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:
- Dr Marisa Marie Wynne attended and graduated from Ohio University, College Of Osteopathic Medicine in 2007
NPI Data:
- NPI Number: 1346422615
- Provider Enumeration Date: 11/28/2007
- Last Update Date: 05/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 3274781158
- Enrollment ID: I20120918000834
Medical Identifiers
Medical identifiers for Dr Marisa Marie Wynne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346422615 | NPI | - | NPPES |
0082233 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 34.009421 (Ohio) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 34.009421 (Ohio) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 34.009421 (Ohio) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | 34.009421 (Ohio) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 391 |
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. Dr Marisa Marie Wynne allows following entities to bill medicare on her behalf.
Entity Name | North East Ohio Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
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Entity Name | Mercy Health Physicians Youngstown, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
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Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
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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. Dr Marisa Marie Wynne 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 |
Dr Marisa Marie Wynne, DO 1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 Ph: (330) 841-4032 | Dr Marisa Marie Wynne, DO 1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 Ph: (330) 841-4032 |
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