Mrs Mary Ohm, ACNP- BC in Prescott, AZ - Medicare Nurse Practitioner

Mrs Mary Ohm, ACNP- BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Prescott, Arizona. Her current practice location is 1001 Willow Creek Rd Ste 2200, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 445-6025.

Mrs Mary Ohm is licensed to practice in Arizona (license number 275091) 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 1972242113.

Contact Information

	Mrs Mary Ohm, ACNP- BC
	1001 Willow Creek Rd Ste 2200, Prescott, AZ 86301-1614
	(928) 445-6025
	(928) 778-3026

Map and Direction

Provider's Profile

Full Name	Mrs Mary Ohm
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1001 Willow Creek Rd Ste 2200, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972242113
Provider Enumeration Date: 06/03/2022
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 4981089331
Enrollment ID: I20220921000796

Medical Identifiers

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

Identifier	Type	State	Issuer
1972242113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	275091 (Arizona)	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 Ohm allows following entities to bill medicare on her behalf.

Entity Name	Yavapai Regional Medical Center Physician Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798

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 Ohm 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 Ohm, ACNP- BC Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5874	Mrs Mary Ohm, ACNP- BC 1001 Willow Creek Rd Ste 2200, Prescott, AZ 86301-1614 Ph: (928) 445-6025

Reviews and Comments

Nurse Practitioner Nurses in Prescott, AZ

Nancy Concepcion Rosales, APRN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238
Mr. Donald Lee Pierce, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 N Pearl Ln, Prescott, AZ 86301 Phone: 602-526-0628
Mrs. Brenda A. Austin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3165 Stillwater Dr, Prescott, AZ 86305 Phone: 928-277-0875 Fax: 608-716-2838
Mr. Galen Francis Richmond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-5458
Nathan William Farnsworth, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 642 Dameron Dr, Prescott, AZ 86301 Phone: 928-445-5211
Mrs. Susan Elaine Spear, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-8458
Catherine A Kefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Landmark Ln, Prescott, AZ 86301 Phone: 971-262-9600

Mrs Mary Ohm, ACNP- BC - Medicare Nurse Practitioner in Prescott, AZ