Mary Winifred Davis-pranke, NP is a medicare enrolled "Nurse Practitioner" physician in Evans, Colorado. Her current practice location is
1400 37th St, Evans, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 348-1112.
Mary Winifred Davis-pranke is licensed to practice in Colorado (license number 010221) 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 1457760803.
Physician's Profile
Full Name | Mary Winifred Davis-pranke |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1400 37th St, Evans, Colorado |
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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: 1457760803
- Provider Enumeration Date: 08/11/2014
- Last Update Date: 02/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204209828
- Enrollment ID: I20230302000338
Medical Identifiers
Medical identifiers for Mary Winifred Davis-pranke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457760803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 8244555-4405 (Utah) | Secondary |
363L00000X | Nurse Practitioner | 010221 (Colorado) | 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 Winifred Davis-pranke allows following entities to bill medicare on her behalf.
Entity Name | Sunrise Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902005382 PECOS PAC ID: 0648164780 Enrollment ID: O20040329001864 |
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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 Winifred Davis-pranke 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 Winifred Davis-pranke, NP 2930 11th Ave, Evans, CO 80620-1011 Ph: (970) 353-9403 | Mary Winifred Davis-pranke, NP 1400 37th St, Evans, CO 80620-1906 Ph: (970) 348-1112 |
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