Dr Mary Wyckoff, PHD, ACNP, BC, NNP - Medicare Nurse Practitioner in Sacramento, CA

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Dr Mary Wyckoff, PHD, ACNP, BC, NNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Sacramento, California. Her current practice location is 2315 Stockton Ave, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 703-3395.

Dr Mary Wyckoff is licensed to practice in California (license number 21525) 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 1952457467.

Contact Information

Dr Mary Wyckoff, PHD, ACNP, BC, NNP
2315 Stockton Ave,
Sacramento, CA 95817
(916) 703-3395
Not Available

Map and Direction




Provider's Profile

Full NameDr Mary Wyckoff
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location2315 Stockton Ave, Sacramento, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952457467
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 10/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1052458072
  • Enrollment ID: I20120416000276

Medical Identifiers

Medical identifiers for Dr Mary Wyckoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952457467NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 1703712 (Florida)Secondary
363LA2100XNurse Practitioner - Acute Care 21525 (California)Primary
363LF0000XNurse Practitioner - Family 21525 (California)Secondary
363LN0005XNurse Practitioner - Neonatal, Critical Care 21525 (California)Secondary
364SA2100XClinical Nurse Specialist - Acute Care 3812 (California)Secondary

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 Wyckoff allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameRegents Of The Univ Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892
Entity NamePulmonary Medicine Associates Medical Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407880719
PECOS PAC ID: 4981506730
Enrollment ID: O20040122001035
Entity NameAcute Care Surgery Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700069549
PECOS PAC ID: 7214006816
Enrollment ID: O20080522000355

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 Wyckoff 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 AddressPractice Location Address
Dr Mary Wyckoff, PHD, ACNP, BC, NNP
5373 Monalee Ave,
Sacramento, CA 95819

Ph: (305) 904-3661		Dr Mary Wyckoff, PHD, ACNP, BC, NNP
2315 Stockton Ave,
Sacramento, CA 95817

Ph: (916) 703-3395

Reviews and Comments


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Phone: 916-734-2145    
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Ilana Lee Abramowitz,
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Sharon Kay Mccoy, FNP
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Phone: 916-973-6935    
Frances Eileen Briare, FNP
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Medicare: Not Enrolled in Medicare
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Phone: 916-688-2000    
Ms. Patricia Lynne Kang, GNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Bruceville Rd, Eldercare Adult Medicine F, Sacramento, CA 95823
Phone: 916-688-6862    Fax: 916-973-6682
Ashena Varani, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3840 Watt Ave, Suite E, Sacramento, CA 95821
Phone: 916-488-6200    Fax: 916-488-6300

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.