Mary Fillmore, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Leroy, Michigan. Mary Fillmore is licensed to practice in Michigan (license number 4704284792) and her current practice location is
13949 Robinhood Ln, Leroy, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 322-0091.
NPI number for Mary Fillmore is 1811715626 and her current mailing address is 13949 Robinhood Ln, Leroy, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811715626.
Provider's Profile
Full Name | Mary Fillmore |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 13949 Robinhood Ln, Leroy, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811715626
- Provider Enumeration Date: 09/30/2024
- Last Update Date: 10/01/2024
Medical Identifiers
Medical identifiers for Mary Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811715626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704284792 (Michigan) | 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 Fillmore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Fillmore, PMHNP 13949 Robinhood Ln, Leroy, MI 49655-9386 Ph: (906) 322-0091 | Mary Fillmore, PMHNP 13949 Robinhood Ln, Leroy, MI 49655-9386 Ph: (906) 322-0091 |
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