Mrs Mary O Wunderlich, PA is a medicare enrolled "Physician Assistant" in Red Bud, Illinois. She graduated from nursing school in 1986 and has 38 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Deaconess Illinois Red Bud Regional Hospital Inc and her current practice location is
325 Spring Street, Red Bud, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 282-3831.
Mrs Mary O Wunderlich is licensed to practice in Illinois (license number 085000332) 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 1477856979.
Provider's Profile
Full Name | Mrs Mary O Wunderlich |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Experience | 38 Years |
---|
Location | 325 Spring Street, Red Bud, Illinois |
---|
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:
- Mrs Mary O Wunderlich graduated from nursing school in 1986
NPI Data:
- NPI Number: 1477856979
- Provider Enumeration Date: 12/06/2010
- Last Update Date: 01/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587847108
- Enrollment ID: I20110319000079
Medical Identifiers
Medical identifiers for Mrs Mary O Wunderlich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477856979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 085-000332 (Illinois) | Secondary |
363A00000X | Physician Assistant | 085000332 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Deaconess Illinois Red Bud Regional Hospital Inc | 9537531579 | 15 |
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 O Wunderlich 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 O Wunderlich, PA 325 Spring Street, Red Bud, IL 62278 Ph: (618) 282-3831 | Mrs Mary O Wunderlich, PA 325 Spring Street, Red Bud, IL 62278 Ph: (618) 282-3831 |
Reviews and Comments