Dr Mary J Shroff, MD is a medicare enrolled "Internal Medicine" physician in North Bend, Washington. Her current practice location is
209 Main Ave S, Suite 115, North Bend, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 831-0777.
Dr Mary J Shroff is licensed to practice in Washington (license number MD00034855) 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 1760443493.
Physician's Profile
Full Name | Dr Mary J Shroff |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 209 Main Ave S, North Bend, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760443493
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1850354655
- Enrollment ID: I20041111000420
Medical Identifiers
Medical identifiers for Dr Mary J Shroff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760443493 | NPI | - | NPPES |
1118496 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD00034855 (Washington) | 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. Dr Mary J Shroff allows following entities to bill medicare on her behalf.
Entity Name | Rainier Emergency Services Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528154101 PECOS PAC ID: 6305807587 Enrollment ID: O20041021000130 |
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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 Mary J Shroff 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 Mary J Shroff, MD Po Box 2810, North Bend, WA 98045-2810 Ph: (425) 831-0777 | Dr Mary J Shroff, MD 209 Main Ave S, Suite 115, North Bend, WA 98045-8139 Ph: (425) 831-0777 |
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