Mary Delphine Heath, MD, MPH is a medicare enrolled "Pediatrics" physician in Sewanee, Tennessee. Her current practice location is
1318 University Ave, Sewanee, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 598-9761.
Mary Delphine Heath is licensed to practice in Tennessee (license number 45115) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164518569.
Physician's Profile
| Full Name | Mary Delphine Heath |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1318 University Ave, Sewanee, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164518569
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 01/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 7416321161
- Enrollment ID: I20230320000794
Medical Identifiers
Medical identifiers for Mary Delphine Heath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164518569 | NPI | - | NPPES |
| 1871997841 | Other | TN | GROUP NPI (SEWANEE PEDIATRICS) |
| 1515467 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 45115 (Tennessee) | Primary |
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. Mary Delphine Heath allows following entities to bill medicare on her behalf.
| Entity Name | Amg-southern Tennessee Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164789467
PECOS PAC ID: 5991765943
Enrollment ID: O20041013001206 |
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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. Mary Delphine Heath 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 |
|---|
Mary Delphine Heath, MD, MPH
1318 University Ave,
Sewanee, TN 37375-2336
Ph: (931) 598-9761 | Mary Delphine Heath, MD, MPH
1318 University Ave,
Sewanee, TN 37375-2336
Ph: (931) 598-9761 |
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