Mary Wildeman, in Carmel, IN - Medicare Nurse Practitioner

Mary Wildeman, is a medicare enrolled "Nurse Practitioner - Family" in Carmel, Indiana. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Abode Care Partners Al Vb Llc, Indiana Home Based Primary Care, Pc and her current practice location is 11550 N Meridian St Ste 375-a, Carmel, Indiana. You can reach out to her office (for appointments etc.) via phone at (463) 223-5702.

Mary Wildeman is licensed to practice in Indiana (license number 28203347A) 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 1790379618.

Contact Information

	Mary Wildeman,
	11550 N Meridian St Ste 375-a, Carmel, IN 46032-6956
	(463) 223-5702
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Wildeman
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	11550 N Meridian St Ste 375-a, Carmel, Indiana
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 Wildeman graduated from nursing school in 2020

NPI Data:

NPI Number: 1790379618
Provider Enumeration Date: 02/22/2021
Last Update Date: 01/31/2023

Medicare PECOS Information:

PECOS PAC ID: 2365858479
Enrollment ID: I20210315001306

Medical Identifiers

Medical identifiers for Mary Wildeman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790379618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28203347A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health	Bloomington, IN	Home health agency
Caretenders	New albany, IN	Home health agency
Deaconess Hospital Inc	Evansville, IN	Hospital
Union Hospital Inc	Terre haute, IN	Hospital
Memorial Hospital And Health Care Center	Jasper, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Abode Care Partners Al Vb Llc	1658403704	39
Indiana Home Based Primary Care, Pc	7618358631	3

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 Wildeman allows following entities to bill medicare on her behalf.

Entity Name	Indiana Home Based Primary Care, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578205548 PECOS PAC ID: 7618358631 Enrollment ID: O20220721001026

Entity Name	Abode Care Partners Al Vb Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558130922 PECOS PAC ID: 1658403704 Enrollment ID: O20240125001174

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 Wildeman 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 Wildeman, 10400 Far View Dr, Evansville, IN 47712-8946 Ph: (812) 306-4757	Mary Wildeman, 11550 N Meridian St Ste 375-a, Carmel, IN 46032-6956 Ph: (463) 223-5702

Reviews and Comments

Nurse Practitioner Nurses in Carmel, IN

Mrs. Heather M Caul, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13345 Illinois St, Carmel, IN 46032 Phone: 317-396-1300 Fax: 317-352-3417
Jennifer M Spors, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11700 N Meridian St, Carmel, IN 46032 Phone: 317-688-2000
Gaelle Maviluka Bulabula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13090 Petigru Dr, Carmel, IN 46032 Phone: 317-733-8608
Mrs. Margaret K Vanderveen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12289 Hancock St Ste 34, Carmel, IN 46032 Phone: 317-815-8950 Fax: 317-815-8951
Taylor K Schub, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13420 N Meridian St Ste 400, Carmel, IN 46032 Phone: 317-573-7050 Fax: 317-573-7098
Lesley L Leggington, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12175 Silvara Ct, Carmel, IN 46032 Phone: 317-370-6656
Molly Taylor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 N Rangeline Rd, Carmel, IN 46032 Phone: 317-343-0611

Mary Wildeman, - Medicare Nurse Practitioner in Carmel, IN