Mary Aneta Corley, RN, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Lone Star, Texas. Her current practice location is
123 N Main St, Lone Star, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 656-0633.
Mary Aneta Corley is licensed to practice in Texas (license number AP107303) 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 1326062316.
Provider's Profile
| Full Name | Mary Aneta Corley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 123 N Main St, Lone Star, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326062316
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 05/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 1850554874
- Enrollment ID: I20120531000216
Medical Identifiers
Medical identifiers for Mary Aneta Corley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326062316 | NPI | - | NPPES |
| 092119904 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 437214 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP107303 (Texas) | 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 Aneta Corley allows following entities to bill medicare on her behalf.
| Entity Name | Phynet Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144245176
PECOS PAC ID: 8527038298
Enrollment ID: O20040729000674 |
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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 Aneta Corley 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 |
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Mary Aneta Corley, RN, CFNP
4002 Technology Ctr,
Longview, TX 75605-2697
Ph: (903) 247-0484 | Mary Aneta Corley, RN, CFNP
123 N Main St,
Lone Star, TX 75668-2223
Ph: (903) 656-0633 |
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