Mary L Phillips, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Ferguson, North Carolina. Her current practice location is
2091 Elk Ridge Rd, Ferguson, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(952) 595-1100.
Mary L Phillips is licensed to practice in North Carolina (license number 34127) 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 1861412991.
Physician's Profile
Full Name | Mary L Phillips |
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Gender | Female |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 2091 Elk Ridge Rd, Ferguson, 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: 1861412991
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 03/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 0648208645
- Enrollment ID: I20050801000545
Medical Identifiers
Medical identifiers for Mary L Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861412991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 34127 (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 L Phillips allows following entities to bill medicare on her behalf.
Entity Name | Red River Consultants Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902877426 PECOS PAC ID: 1355303363 Enrollment ID: O20170926000383 |
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Entity Name | Pontchartrain Diagnostic Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760734685 PECOS PAC ID: 1951552900 Enrollment ID: O20180411000427 |
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Entity Name | Radiology Specialists Ltd Marasso-miller |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437196979 PECOS PAC ID: 0143110874 Enrollment ID: O20190926003513 |
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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 L Phillips 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 L Phillips, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Mary L Phillips, MD 2091 Elk Ridge Rd, Ferguson, NC 28624-9146 Ph: (952) 595-1100 |
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