Mary C Head, NP is a medicare enrolled "Nurse Practitioner" physician in Cornelius, North Carolina. Her current practice location is
19485 Old Jetton Rd, Suite 100, Cornelius, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 384-1775.
Mary C Head is licensed to practice in North Carolina (license number 900417) 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 1699700484.
Physician's Profile
Full Name | Mary C Head |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 19485 Old Jetton Rd, Cornelius, North Carolina |
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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: 1699700484
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 06/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 2062490519
- Enrollment ID: I20040710000382
Medical Identifiers
Medical identifiers for Mary C Head such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699700484 | NPI | - | NPPES |
7003510 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 0009-00417 (North Carolina) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 900417 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 900417 (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. Mary C Head allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
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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. Mary C Head 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 |
Mary C Head, NP Po Box 602362, Charlotte, NC 28260-2362 Ph: (704) 384-1775 | Mary C Head, NP 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031-6582 Ph: (704) 384-1775 |
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