Mary Angela Mcinnis, DNP, APRN, ENP, FNP - Medicare Nurse Practitioner in Tyler, TX

Mary Angela Mcinnis, DNP, APRN, ENP, FNP is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. Her current practice location is 1303 Elk River Rd, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 397-9773.

Mary Angela Mcinnis is licensed to practice in Texas (license number 671796) 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 1134399751.

Contact Information

Mary Angela Mcinnis, DNP, APRN, ENP, FNP
1303 Elk River Rd,
Tyler, TX 75703-7456
(713) 397-9773
Not Available

Map and Direction




Provider's Profile

Full NameMary Angela Mcinnis
GenderFemale
SpecialityNurse Practitioner
Location1303 Elk River Rd, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134399751
  • Provider Enumeration Date: 03/11/2008
  • Last Update Date: 04/17/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0446320188
  • Enrollment ID: I20080606000092

Medical Identifiers

Medical identifiers for Mary Angela Mcinnis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134399751NPI-NPPES
671796OtherTXLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 671796 (Texas)Secondary
363L00000XNurse Practitioner 671796 (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 Angela Mcinnis allows following entities to bill medicare on her behalf.
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameAult Mcinnis Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942587159
PECOS PAC ID: 9133396674
Enrollment ID: O20120124000385
Entity NameFamily First Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639506876
PECOS PAC ID: 8729218268
Enrollment ID: O20140303001773

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 Angela Mcinnis 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
Mary Angela Mcinnis, DNP, APRN, ENP, FNP
1303 Elk River Rd,
Tyler, TX 75703-7456

Ph: (713) 397-9773
Mary Angela Mcinnis, DNP, APRN, ENP, FNP
1303 Elk River Rd,
Tyler, TX 75703-7456

Ph: (713) 397-9773

Reviews and Comments


Nurse Practitioner Nurses in Tyler, TX

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Phone: 903-606-8718    Fax: 903-606-1218
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Anna Elise Fenton, NP
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Mary Anne Fitzgerald, NP
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Phone: 903-535-0023    Fax: 903-535-0052
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Phone: 903-877-7200    Fax: 903-877-5080
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Practice Location: 1720 S Beckham Ave, Tyler, TX 75701
Phone: 903-630-6211    

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.