| Dr Mary Martin Henry, MD | |
|
6800 State Route 162, Maryville, IL 62062-8521 | |
| (618) 288-5711 | |
| (314) 977-7615 |
| Full Name | Dr Mary Martin Henry |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 45 Years |
| Location | 6800 State Route 162, Maryville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144283136 | NPI | - | NPPES |
| 705958 | Other | KS | KS BCBS |
| 100257620A | Medicaid | KS | |
| 208616508 | Medicaid | MO | |
| 14731031 | Other | KS CITY BCBS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Menorah Medical Center | Overland park, KS | Hospital |
| Centerpoint Medical Center | Independence, MO | Hospital |
| Overland Park Reg Med Ctr | Overland park, KS | Hospital |
| Research Medical Center | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Irl Pathology Services Midamerica Llc | 0840558664 | 15 |
| Irl Pathology Services Midamerica Llc | 0840558664 | 15 |
| Entity Name | University Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669456257 PECOS PAC ID: 1153235825 Enrollment ID: O20031117000701 |
| Entity Name | Ssm Cardinal Glennon Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
| Entity Name | Irl Pathology Services Midamerica Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497271480 PECOS PAC ID: 0840558664 Enrollment ID: O20180129000230 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Martin Henry, MD 6800 State Route 162, Maryville, IL 62062-8521 Ph: (618) 288-5711 | Dr Mary Martin Henry, MD 6800 State Route 162, Maryville, IL 62062-8521 Ph: (618) 288-5711 |
Steven Paul Nuernberger, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Anderson Hospital Laboratory, Rt 162, Maryville, IL 62062 Phone: 618-288-6298 Fax: 618-288-3346 | |
Thomas Fay, Pathology Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-6140 Fax: 618-288-2164 |