Mariah Gloria Teriet, in Marion, IL - Medicare Nurse Practitioner

Mariah Gloria Teriet, is a medicare enrolled "Nurse Practitioner" in Marion, Illinois. Her current practice location is 2808 East Outer Dr, Marion, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 993-3817.

Mariah Gloria Teriet is licensed to practice in Illinois (license number 209025444) 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 1275267262.

Contact Information

	Mariah Gloria Teriet,
	2808 East Outer Dr, Marion, IL 62959-5207
	(618) 993-3817
	Not Available

Map and Direction

Provider's Profile

Full Name	Mariah Gloria Teriet
Gender	Female
Speciality	Nurse Practitioner
Location	2808 East Outer Dr, Marion, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275267262
Provider Enumeration Date: 07/14/2022
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 5294101101
Enrollment ID: I20221018002156

Medical Identifiers

Medical identifiers for Mariah Gloria Teriet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275267262	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209025444 (Illinois)	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. Mariah Gloria Teriet allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Mariah Gloria Teriet 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
Mariah Gloria Teriet, 2808 East Outer Dr, Marion, IL 62959-5207 Ph: (618) 993-3817	Mariah Gloria Teriet, 2808 East Outer Dr, Marion, IL 62959-5207 Ph: (618) 993-3817

Reviews and Comments

Nurse Practitioner Nurses in Marion, IL

Era Louise Mattingly, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11522 White Pine Ave, Marion, IL 62959 Phone: 618-889-4834
Jessie Nicole Fox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Outer Dr, Marion, IL 62959 Phone: 618-993-3817
Ms. Peggy Boyd, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3106 Outer Dr, Marion, IL 62959 Phone: 618-997-4332 Fax: 618-997-6205
Donna R Walters, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285
Mrs. Holly Ann Gates, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155
Rhonda Raye Heatherly, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Vicksburg St, Marion, IL 62959 Phone: 618-998-1900
Michelle Wharton, APN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404

Mariah Gloria Teriet, - Medicare Nurse Practitioner in Marion, IL