Dr Mary Edith Obear, MD PHD is a medicare enrolled "Family Medicine" physician in Corfu, New York. Her current practice location is
860 Main Rd, Corfu, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 599-6446.
Dr Mary Edith Obear is licensed to practice in New York (license number 205518) 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 1629034285.
Physician's Profile
| Full Name | Dr Mary Edith Obear |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 860 Main Rd, Corfu, New York |
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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: 1629034285
- Provider Enumeration Date: 04/24/2006
- Last Update Date: 03/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 8628021235
- Enrollment ID: I20050822000128
Medical Identifiers
Medical identifiers for Dr Mary Edith Obear such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629034285 | NPI | - | NPPES |
| 01909273 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 205518 (New York) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 205518 (New York) | Secondary |
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. Dr Mary Edith Obear allows following entities to bill medicare on her behalf.
| Entity Name | Oak Orchard Community Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598707812
PECOS PAC ID: 5496746927
Enrollment ID: O20040521001124 |
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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. Dr Mary Edith Obear 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 |
|---|
Dr Mary Edith Obear, MD PHD
860 Main Rd,
Corfu, NY 14036-9753
Ph: (585) 599-6446 | Dr Mary Edith Obear, MD PHD
860 Main Rd,
Corfu, NY 14036-9753
Ph: (585) 599-6446 |
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