Pamela R Wyatt, CNM WHCNP is a medicare enrolled "Advanced Practice Midwife" in Sulphur Springs, Texas. Her current practice location is
117 Medical Cir, Sulphur Springs, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 885-8471.
Pamela R Wyatt is licensed to practice in * (Not Available) (license number ) 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 1942592225.
Provider's Profile
| Full Name | Pamela R Wyatt |
|---|
| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 117 Medical Cir, Sulphur Springs, 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: 1942592225
- Provider Enumeration Date: 05/05/2011
- Last Update Date: 12/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749457000
- Enrollment ID: I20141013000283
Medical Identifiers
Medical identifiers for Pamela R Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942592225 | NPI | - | NPPES |
| 629757 | Other | TX | CERTIFIED NURSE PRACTIONER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 629757 (Texas) | Secondary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | 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. Pamela R Wyatt allows following entities to bill medicare on her behalf.
| Entity Name | Marie Hollis, M.d. Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871881821
PECOS PAC ID: 0840451670
Enrollment ID: O20120423000067 |
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| Entity Name | Obhg Texas Holdings Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083917769
PECOS PAC ID: 3577713072
Enrollment ID: O20121018000279 |
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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. Pamela R Wyatt 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 |
|---|
Pamela R Wyatt, CNM WHCNP
3900 Joe Ramsey Blvd E Ste E,
Greenville, TX 75401-7770
Ph: (903) 454-1722 | Pamela R Wyatt, CNM WHCNP
117 Medical Cir,
Sulphur Springs, TX 75482-2138
Ph: (903) 885-8471 |
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