Mary Leung, CNM is a medicare enrolled "Advanced Practice Midwife" in Melrose Park, Illinois. Her current practice location is
1111 Superior St Ste 101, Melrose Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 406-3040.
Mary Leung is licensed to practice in Illinois (license number 209.016167) 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 1710492947.
Provider's Profile
| Full Name | Mary Leung |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1111 Superior St Ste 101, Melrose Park, Illinois |
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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: 1710492947
- Provider Enumeration Date: 12/11/2017
- Last Update Date: 12/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 6103188818
- Enrollment ID: I20180316000996
Medical Identifiers
Medical identifiers for Mary Leung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710492947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 041.421334 (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | 209.016167 (Illinois) | 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 Leung allows following entities to bill medicare on her behalf.
| Entity Name | Access Community Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982783692
PECOS PAC ID: 9537076112
Enrollment ID: O20031204000985 |
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| Entity Name | Pcc Community Wellness Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871516799
PECOS PAC ID: 1557270139
Enrollment ID: O20040206000415 |
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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 Leung 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 Leung, CNM
1111 Superior St Ste 101,
Melrose Park, IL 60160-4100
Ph: (708) 406-3040 | Mary Leung, CNM
1111 Superior St Ste 101,
Melrose Park, IL 60160
Ph: (708) 406-3040 |
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