Mary Jane Wildman, CRNP in Uniontown, PA - Medicare Nurse Practitioner

Mary Jane Wildman, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Uniontown, Pennsylvania. Her current practice location is 100 New Salem Rd, Suite 116, Uniontown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 437-0728.

Mary Jane Wildman is licensed to practice in Pennsylvania (license number SP028136) 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 1174846166.

Contact Information

	Mary Jane Wildman, CRNP
	100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936
	(724) 437-0728
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Jane Wildman
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	100 New Salem Rd, Uniontown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174846166
Provider Enumeration Date: 03/05/2010
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0941650063
Enrollment ID: I20240102000882

Medical Identifiers

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

Identifier	Type	State	Issuer
1174846166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN588934 (Pennsylvania)	Secondary
163WP0807X	Registered Nurse - Psychiatric/mental Health, Child & Adolescent	RN588934 (Pennsylvania)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP028136 (Pennsylvania)	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. Mary Jane Wildman allows following entities to bill medicare on her behalf.

Entity Name	Chestnut Ridge Counseling Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063489482 PECOS PAC ID: 1254226376 Enrollment ID: O20040218000334

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 Jane Wildman 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 Jane Wildman, CRNP 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 Ph: (724) 437-0728	Mary Jane Wildman, CRNP 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 Ph: (724) 437-0728

Reviews and Comments

Nurse Practitioner Nurses in Uniontown, PA

Angela Lynn Johnston, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 630 Cherry Tree Lane, Uniontown, PA 15401 Phone: 724-439-0308
Misty Dawn Newton, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 New Salem Rd, Suite 116, Uniontown, PA 15401 Phone: 724-437-0729 Fax: 724-437-2761
Alexandrea Morrow, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W Berkeley St, Uniontown, PA 15401 Phone: 724-430-5000
Susan Ann Weinhofer, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Wayland Smith Dr, Uniontown, PA 15401 Phone: 724-437-9854 Fax: 724-437-8305
Vicki Lynn Morgan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 289 Mcclellandtown Rd, Uniontown, PA 15401 Phone: 724-439-3627 Fax: 724-439-0489
Mr. Torrey Dennis Witt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W Berkeley St, Uniontown, PA 15401 Phone: 724-430-5066 Fax: 724-430-6976
Julie Furajter, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Berkeley St, Uniontown, PA 15401 Phone: 724-430-5000

Mary Jane Wildman, CRNP - Medicare Nurse Practitioner in Uniontown, PA