Mary Mitchell Wilcox, FNP is a medicare enrolled "Nurse Practitioner" in Normanna, Texas. Her current practice location is
624 Main, Normanna, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 937-3782.
Mary Mitchell Wilcox is licensed to practice in Texas (license number AP134188) 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 1144742313.
Provider's Profile
| Full Name | Mary Mitchell Wilcox |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 624 Main, Normanna, Texas |
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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: 1144742313
- Provider Enumeration Date: 07/10/2017
- Last Update Date: 09/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 2567733264
- Enrollment ID: I20170728002478
Medical Identifiers
Medical identifiers for Mary Mitchell Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144742313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | AP134188 (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 Mitchell Wilcox allows following entities to bill medicare on her behalf.
| Entity Name | East Texas Surgical Associates, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497892152
PECOS PAC ID: 8022059013
Enrollment ID: O20050519000893 |
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| Entity Name | Day Primary Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578810040
PECOS PAC ID: 4183871734
Enrollment ID: O20120904000466 |
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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 Mitchell Wilcox 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 Mitchell Wilcox, FNP
4237 Western Dr,
Corpus Christi, TX 78410-3843
Ph: (361) 510-3213 | Mary Mitchell Wilcox, FNP
624 Main,
Normanna, TX 78142-2001
Ph: (361) 937-3782 |
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