Ms Mary Jacqueline Wharton, FNP-C is a medicare enrolled "Hospitalist" in Marion, Indiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adams County Memorial Hospital and her current practice location is
441 N Wabash Ave, Marion, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 660-6900.
Ms Mary Jacqueline Wharton is licensed to practice in Indiana (license number 28209999A) 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 1992265904.
Provider's Profile
| Full Name | Ms Mary Jacqueline Wharton |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 441 N Wabash Ave, Marion, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Mary Jacqueline Wharton graduated from nursing school in 2017
NPI Data:
- NPI Number: 1992265904
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 06/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224370465
- Enrollment ID: I20190508002091
Medical Identifiers
Medical identifiers for Ms Mary Jacqueline Wharton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992265904 | NPI | - | NPPES |
| 000001270272 | Other | IN | ANTHEM |
| 300025020 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 28209999A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 28209999A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Adams County Memorial Hospital | 0941198253 | 69 |
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. Ms Mary Jacqueline Wharton allows following entities to bill medicare on her behalf.
| Entity Name | Adams County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689696148
PECOS PAC ID: 0941198253
Enrollment ID: O20041001000326 |
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| Entity Name | Fast Pace Medical Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649770769
PECOS PAC ID: 5395881841
Enrollment ID: O20200827001491 |
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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. Ms Mary Jacqueline Wharton 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 |
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Ms Mary Jacqueline Wharton, FNP-C
330 N Wabash, Ste G20,
Marion, IN 46952
Ph: (765) 660-7616 | Ms Mary Jacqueline Wharton, FNP-C
441 N Wabash Ave,
Marion, IN 46952-2612
Ph: (765) 660-6900 |
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