Mrs Mary Elizabeth Whitlock, NNP-BC is a medicare enrolled "General Acute Care Hospital - Children" in Boston, Massachusetts. Her current practice location is
330 Brookline Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 667-4042.
Mrs Mary Elizabeth Whitlock is licensed to practice in Massachusetts (license number RN169645) 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 1588959670.
Provider's Profile
Full Name | Mrs Mary Elizabeth Whitlock |
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Gender | Female |
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Speciality | General Acute Care Hospital - Children |
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Location | 330 Brookline Ave, Boston, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588959670
- Provider Enumeration Date: 06/16/2011
- Last Update Date: 11/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 2466613138
- Enrollment ID: I20120406000044
Medical Identifiers
Medical identifiers for Mrs Mary Elizabeth Whitlock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588959670 | NPI | - | NPPES |
110091271A | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LN0000X | Nurse Practitioner - Neonatal | RN169645 (Massachusetts) | Secondary |
363LN0005X | Nurse Practitioner - Neonatal, Critical Care | RN169645 (Massachusetts) | Secondary |
282NC2000X | General Acute Care Hospital - Children | RN169645 (Massachusetts) | 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. Mrs Mary Elizabeth Whitlock allows following entities to bill medicare on her behalf.
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
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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. Mrs Mary Elizabeth Whitlock 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 |
Mrs Mary Elizabeth Whitlock, NNP-BC 330 Brookline Ave, Boston, MA 02215-5400 Ph: (617) 667-4042 | Mrs Mary Elizabeth Whitlock, NNP-BC 330 Brookline Ave, Boston, MA 02215 Ph: (617) 667-4042 |
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