Mary Ann Wietbrock, RN MSN ACNS-BC is a medicare enrolled "Clinical Nurse Specialist" in Cumberland, Indiana. Her current practice location is
102 Granby Dr, Cumberland, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 410-9140.
Mary Ann Wietbrock is licensed to practice in Indiana (license number 28088637A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336551175.
Provider's Profile
Full Name | Mary Ann Wietbrock |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 102 Granby Dr, Cumberland, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mary Ann Wietbrock attended and graduated from in
NPI Data:
- NPI Number: 1336551175
- Provider Enumeration Date: 05/28/2014
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mary Ann Wietbrock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336551175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364S00000X | Clinical Nurse Specialist | 28088637A (Indiana) | Primary |
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 Ann Wietbrock 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 Ann Wietbrock, RN MSN ACNS-BC 4108 W 400 S, New Palestine, IN 46163-9612 Ph: (317) 410-9140 | Mary Ann Wietbrock, RN MSN ACNS-BC 102 Granby Dr, Cumberland, IN 46229-4203 Ph: (317) 410-9140 |
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