Dr Mary L Wisniewski, MD in Jacksonville, NC

Dr Mary L Wisniewski, MD is a medicare enrolled "Pediatrics" physician in Jacksonville, North Carolina. Her current practice location is 118 Memorial Dr, Jacksonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 353-0581.

Dr Mary L Wisniewski is licensed to practice in North Carolina (license number 2010-01227) 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 1548201890.

Contact Information

	Dr Mary L Wisniewski, MD
	118 Memorial Dr, Jacksonville, NC 28546-6328
	(910) 353-0581
	(910) 577-1150

Map and Direction

Physician's Profile

Full Name	Dr Mary L Wisniewski
Gender	Female
Speciality	Pediatrics
Location	118 Memorial Dr, Jacksonville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548201890
Provider Enumeration Date: 06/09/2006
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 4082947452
Enrollment ID: I20190618001230

Medical Identifiers

Medical identifiers for Dr Mary L Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548201890	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2010-01227 (North Carolina)	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 L Wisniewski allows following entities to bill medicare on her behalf.

Entity Name	Jacksonville Children's And Multispecialty Clinic, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164519070 PECOS PAC ID: 6709968811 Enrollment ID: O20080129000277

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 L Wisniewski 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 L Wisniewski, MD Po Box 986513, Department 100, Boston, MA 02298-6513 Ph: (910) 219-8326	Dr Mary L Wisniewski, MD 118 Memorial Dr, Jacksonville, NC 28546-6328 Ph: (910) 353-0581

Reviews and Comments

Pediatrics Doctors in Jacksonville, NC

Michael David Hofmann, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3050 Henderson Dr, Jacksonville, NC 28546 Phone: 910-353-2660 Fax: 910-353-2770
Dr. Anna Skaskiw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 118 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-577-1150
Dr. Evgeniya Nikolaevna Chisenhall, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-577-1150
Jugta Kahai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-577-1150
Adriane Kacho Eng-osborne, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-353-1536
Dr. Suzanne Stelmach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-347-2154 Fax: 910-347-3165
Dr. Jacquelyn Marie Burnett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr Ste B, Jacksonville, NC 28546 Phone: 910-634-3555 Fax: 910-442-8826

Dr Mary L Wisniewski, MD - Medicare Pediatrics in Jacksonville, NC