Mary C Barraza, MD is a
Family Medicine physician based in Attica, Indiana. Mary C Barraza is licensed to practice in Indiana (license number 01092440A) and her current practice location is 101 Suzie Ln, Attica, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 762-6789.
NPI number for Mary C Barraza is 1518320779 and her current mailing address is 101 Suzie Ln, Attica, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518320779.
Physician's Profile
| Full Name | Mary C Barraza |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 101 Suzie Ln, Attica, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518320779
- Provider Enumeration Date: 04/04/2016
- Last Update Date: 02/27/2025
Medical Identifiers
Medical identifiers for Mary C Barraza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518320779 | NPI | - | NPPES |
| 7100614920 | Medicaid | KY | |
| 0179526 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 01092440A (Indiana) | Primary |
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. Mary C Barraza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary C Barraza, MD
101 Suzie Ln,
Attica, IN 47918-2009
Ph: (765) 762-6789 | Mary C Barraza, MD
101 Suzie Ln,
Attica, IN 47918-2009
Ph: (765) 762-6789 |
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