Mary Beena Mammen, - Medicare Nurse Practitioner in Kokomo, IN

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Mary Beena Mammen, is a medicare enrolled "Nurse Practitioner - Family" in Kokomo, Indiana. Her current practice location is 3505 S Reed Rd, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 453-8666.

Mary Beena Mammen is licensed to practice in Indiana (license number 71008081A) 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 1134615834.

Contact Information

Mary Beena Mammen,
3505 S Reed Rd,
Kokomo, IN 46902-3838
(765) 453-8666
Not Available

Map and Direction




Provider's Profile

Full NameMary Beena Mammen
GenderFemale
SpecialityNurse Practitioner - Family
Location3505 S Reed Rd, Kokomo, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134615834
  • Provider Enumeration Date: 07/05/2018
  • Last Update Date: 07/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7719234236
  • Enrollment ID: I20180716000633

Medical Identifiers

Medical identifiers for Mary Beena Mammen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134615834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71008081A (Indiana)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 Beena Mammen allows following entities to bill medicare on her behalf.
Entity NameState Of Indiana Auditor Of State
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700876224
PECOS PAC ID: 1759280118
Enrollment ID: O20040105000564
Entity NameMichael S Miller Do Facos Cws Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316072242
PECOS PAC ID: 6406935733
Enrollment ID: O20080512000280
Entity NameAims Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376072785
PECOS PAC ID: 6406126572
Enrollment ID: O20170721002478
Entity NameAims-med, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881211878
PECOS PAC ID: 5597176263
Enrollment ID: O20201201003204

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 Beena Mammen 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 Beena Mammen,
3505 S Reed Rd,
Kokomo, IN 46902-3838

Ph: () -		Mary Beena Mammen,
3505 S Reed Rd,
Kokomo, IN 46902-3838

Ph: (765) 453-8666

Reviews and Comments


Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3500 S Lafountain St, Kokomo, IN 46902
Phone: 765-453-8571    Fax: 765-453-8637
Miranda Tedder,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902
Phone: 765-776-8700    
Mandy Vires, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902
Phone: 317-654-3487    
Raymond Candelaria,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902
Phone: 765-776-8700    
Mrs. Lisa D Stults, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1907 W Sycamore St, Kokomo, IN 46901
Phone: 765-456-5900    
Angela J Bowman, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901
Phone: 765-453-1254    Fax: 765-864-8732
Mary Hendrix,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902
Phone: 765-864-4160    

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.