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 35 years of diverse experience with area of expertise as Family Practice. 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.
Physician's Profile
Full Name | Dr Mary Lou Church |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 35 Years |
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Location | 1707 Industrial Dr, Wilkesboro, North Carolina |
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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. |
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.
Identifier | Type | State | Issuer |
1639170749 | NPI | - | NPPES |
65316 | Other | NC | BCBS PROVIDER NUMBER |
8965316 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 39371 (North Carolina) | Primary |
Medical Facilities Affiliation
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 Name | Mlp Church Md Family Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710215538 PECOS PAC ID: 3577604578 Enrollment ID: O20100113000563 |
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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 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 Address | Practice 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 |
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