Dr Mary Martin Henry, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Maryville, Illinois. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1980 and has 46 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Ssm Health Care Group, Ssm Health Care Group and her current practice location is
6800 State Route 162, Maryville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 288-5711.
Dr Mary Martin Henry is licensed to practice in Illinois (license number 036137460) 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 1144283136.
Physician's Profile
| Full Name | Dr Mary Martin Henry |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 46 Years |
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| Location | 6800 State Route 162, Maryville, Illinois |
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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 Martin Henry attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1980
NPI Data:
- NPI Number: 1144283136
- Provider Enumeration Date: 04/10/2006
- Last Update Date: 01/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719140888
- Enrollment ID: I20150409000928
Medical Identifiers
Medical identifiers for Dr Mary Martin Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144283136 | NPI | - | NPPES |
| 705958 | Other | KS | KS BCBS |
| 100257620A | Medicaid | KS | |
| 208616508 | Medicaid | MO | |
| 14731031 | Other | | KS CITY BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZC0500X | Pathology - Cytopathology | R1J04 (Missouri) | Secondary |
| 207ZC0500X | Pathology - Cytopathology | 036137460 (Illinois) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | R1J04 (Missouri) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 04-21754 (Kansas) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036137460 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Ssm Health Care Group | 0143608372 | 921 |
| Ssm Health Care Group | 0143608372 | 921 |
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 Martin Henry allows following entities to bill medicare on her behalf.
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
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| Entity Name | Ssm Health Care Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220606001320 |
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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 Martin Henry 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 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 |
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