Dr Mary Lou Church, MD - Medicare Family Practice in Wilkesboro, NC

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Dr Mary Lou Church, MD is a medicare enrolled "Family Medicine" physician in Wilkesboro, North Carolina. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1989 and has 37 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mlp Church Md Family Practice Inc and her current practice location is 1707 Industrial Dr, Wilkesboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 667-6363.

Dr Mary Lou Church is licensed to practice in North Carolina (license number 39371) 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 1639170749.

Contact Information

Dr Mary Lou Church, MD
1707 Industrial Dr,
Wilkesboro, NC 28697-7345
(336) 667-6363
(336) 667-8066

Map and Direction




Physician's Profile

Full NameDr Mary Lou Church
GenderFemale
SpecialityFamily Practice
Experience37 Years
Location1707 Industrial Dr, Wilkesboro, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mary Lou Church attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1639170749
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0941341945
  • Enrollment ID: I20100113000560

Medical Identifiers

Medical identifiers for Dr Mary Lou Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639170749NPI-NPPES
65316OtherNCBCBS PROVIDER NUMBER
8965316MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 39371 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wake Forest Baptist Health Care At Home, LlcWilkesboro, NCHome health agency
Wilkes Regional Medical CenterNorth wilkesboro, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mlp Church Md Family Practice Inc35776045782

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 Lou Church allows following entities to bill medicare on her behalf.
Entity NameMlp Church Md Family Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710215538
PECOS PAC ID: 3577604578
Enrollment ID: O20100113000563

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 Lou Church 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 AddressPractice Location Address
Dr Mary Lou Church, MD
1707 Industrial Dr,
Wilkesboro, NC 28697-7345

Ph: (336) 667-6363		Dr Mary Lou Church, MD
1707 Industrial Dr,
Wilkesboro, NC 28697-7345

Ph: (336) 667-6363

Reviews and Comments


Family Medicine Doctors in Wilkesboro, NC

Dr. Prakash N Khot, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1216 School St Ste D, Wilkesboro, NC 28697
Phone: 336-838-9990    Fax: 336-838-9995
Dr. Glen Ernest Alford, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1016 Fletcher St, Wilkesboro, NC 28697
Phone: 336-667-8228    Fax: 336-667-2899

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.